Individual provider Active NPI

Chandra Ruth Tameshwar

  • Family Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1144060427
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05240223 Issued in NY
Practice address
12615 172ND St
Jamaica, NY 11434-3329
Phone
(347) 855-1916
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05240223 NY Primary

Addresses

Primary practice location

12615 172ND St
Jamaica, NY 11434-3329

Mailing address

12615 172ND St
Jamaica, NY 11434-3329
Phone (347) 855-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002003154 NY Practitioner - Nurse Practitioner 0143751032 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05240223NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Mar 6, 2025 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 12, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Mar 6, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 12, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 6, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Mar 6, 2025 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

616 Castle Hill Ave
Ste A
Bronx, NY 10473

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

1990 McGraw Ave
Ste A
Bronx, NY 10462

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

2742 3rd Ave
Ste A
Bronx, NY 10455

5667 Riverdale Ave
Bronx, NY 10471

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1144060427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 172ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343329",
            "telephone_number": "347-855-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 172ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343329",
            "telephone_number": "347-855-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMESHWAR",
        "first_name": "CHANDRA",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F05240223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.