Chandu Damavarapu, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA10793900 Issued in NJ

Practice address

14 Canterbury LN
Hackettstown, NJ 07840-3436

Phone

(908) 963-0315

NPI assigned

Mar 31, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1083032866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CANTERBURY LN",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403436",
            "telephone_number": "908-963-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CANTERBURY LN",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403436",
            "telephone_number": "908-963-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAVARAPU",
        "first_name": "CHANDU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA10793900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Cuomo, LCSW
• Alexis D'Ambrosio, LPC
• Karen D'Angelo
• Rebecca M Daigler, LPC
• Matthew Edmund Dailey, PH.D.
• Vanessa Damelines-Obregon, LCSW
• Dana Risteska LLC
• Morgan Dartnell
• Silvana Marie Dasilva, MSN,RN,FNP-C
• Dennis Peter Dauria, LCSW

• General Practice Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.

Verify at the official NPI Registry.