Active NPI
Priya R Lad, R.N., CPNP
- Pediatric Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1073848651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00321300
- Practice address
- 101 2ND St
Lakewood, NJ 08701-3324 - Phone
- (732) 363-6655
- Fax
- (732) 363-6656
- NPI assigned
- Oct 15, 2009
- Last updated
- Jan 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00321300 | NJ | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | RN0000167674 | TN |
Addresses
Primary practice location
101 2ND St
Lakewood, NJ 08701-3324
Mailing address
101 2ND St
Lakewood, NJ 08701-3324
Phone (732) 363-6655
Other names 1
- Priya B Champaneria
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14366 | TN | MD | Physical Therapist |
| RN0000167674 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Past | Accepting new patients |
Interoperability endpoints
- priya.lad@direct.digidms.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocare Heritage Family Medicine
- Family Medicine Physician
- Moorestown, NJ
- NPI 1053589515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1073848651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 2ND ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013324",
"telephone_number": "732-363-6655",
"fax_number": "732-363-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 2ND ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013324",
"telephone_number": "732-363-6655",
"fax_number": "732-363-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAD",
"first_name": "PRIYA",
"middle_name": "R",
"credential": "R.N., CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00321300",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "RN0000167674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRIYA",
"last_name": "CHAMPANERIA",
"middle_name": "B",
"credential": "RN, CPNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.