Active NPI
Kulandaivelu Chandrasekaran, M.D.
- Cardiovascular Disease Physician
- East Orange, NJ
National Provider Identifier
1043327000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA05956600
- Practice address
- 385 Tremont Ave Ste 9-167 MSC 111
Veterans Affairs Medical Center
East Orange, NJ 07018-1023 - Phone
- (973) 676-1000
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA05956600 | NJ | Primary |
Addresses
Primary practice location
385 Tremont Ave Ste 9-167 MSC 111
Veterans Affairs Medical Center
East Orange, NJ 07018-1023
Mailing address
1400 Rachel Terrace
Apt 16
Pinebrook, NJ 07058-9309
Phone (973) 439-7273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130724000381 | TX | Order and Referring Only - Cardiovascular Disease (Cardiology) | 7416134523 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043327000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 RACHEL TERRACE",
"address_2": "APT 16",
"city": "PINEBROOK",
"state": "NJ",
"postal_code": "070589309",
"telephone_number": "973-439-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 TREMONT AVE STE 9-167 MSC 111",
"address_2": "VETERANS AFFAIRS MEDICAL CENTER",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181023",
"telephone_number": "973-676-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKARAN",
"first_name": "KULANDAIVELU",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA05956600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.