Indira Michelle Chandler

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00470400 Issued in NJ

Practice address

1 Lupton Ave
Woodbury, NJ 08096-5901

Phone

(856) 537-5081

NPI assigned

Nov 8, 2013

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Therapy and Consultation Services

  • Community/Behavioral Health Agency
  • Woodbury, NJ
  • NPI 1730239450

  NJ

  Medicare reassignment NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  NJ

  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323

  NJ

  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  • Family Medicine Physician
  • Hillsborough, NJ
  • NPI 1023493806
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• United Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, NJ
  • NPI 1770102808
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2024.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1124457247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LUPTON AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUPTON AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965901",
            "telephone_number": "856-537-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "INDIRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00470400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422169",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Cassady, PH.D.
• Peter M Castelluccio, LSW
• Center for Family Services, Inc.
• Christina Chambers, PHD, LMFT
• Jennifer Chan, OD
• Charis Counseling, LLC
• Shaniece Latoya Chavis, DNP, APN, FNP-BC
• Ho-Kan Cheng, M.D.
• Abraham Cherian, MD
• Lauren Lee Chiari, LSW

• All providers in Woodbury, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.