Individual provider Active NPI

Chandrika Nadipuram, M.D.

  • Psychiatry Physician
  • Aberdeen, NJ
National Provider Identifier
1255495123
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA050517 Issued in NJ
Practice address
1088 Highway 34
Aberdeen, NJ 07747-1948
Phone
(848) 863-6621
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA050517 NJ Primary

Addresses

Primary practice location

1088 Highway 34
Aberdeen, NJ 07747-1948

Mailing address

1088 Highway 34
Aberdeen, NJ 07747-1948
Phone (848) 863-6621

Other identifiers 3

IdentifierTypeStateIssuer
2084P0800XOtherNJTAXONOMY
451918C2DOtherNJLEGACYID/SFX
NA451918OtherNJMEDITRAKID

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000016 NJ Practitioner - Psychiatry 1658421177 Reassigns benefits to 1 organization
Practice locations: Matawan, NJ; Millstone, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

1088 Hwy 34
Matawan, NJ 07747-1948
Phone (732) 290-1700

22 Court St
Freehold, NJ 07728-1700
Phone (732) 780-7387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA050517NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CPC Behavioral Healthcare, Inc CurrentSince Jun 1, 2015 Accepting new patients
CPC Integrated Health, Inc. CurrentSince Jun 1, 2015 Accepting new patients
State of New Jersey Omb Centralized Payroll Past Accepting new patients
County of Middlesex PastSince Dec 15, 2024 Accepting new patients
County of Middlesex Past Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

1088 State Route 34
Matawan, NJ 07747
Phone (732) 290-1700

Organizations & group practices 5

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1255495123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 HIGHWAY 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471948",
            "telephone_number": "848-863-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 HIGHWAY 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471948",
            "telephone_number": "848-863-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIPURAM",
        "first_name": "CHANDRIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA050517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084P0800X",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACYID/SFX",
            "identifier": "451918C2D",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDITRAKID",
            "identifier": "NA451918",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

Verify at the official NPI Registry.