Bianca Chendrimada, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB11876600 Issued in NJ

Practice address

780 US-3 West
Clifton, NJ 07012

Phone

(973) 777-6767

NPI assigned

Mar 26, 2020

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Children's Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653

  Single Specialty

  Medicare reassignment NPD
• Children's Hospital Los Angeles

  • Children's Chronic Disease Hospital
  • Los Angeles, CA
  • NPI 1366527954
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1396372587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KNOB HILL RD",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519515",
            "telephone_number": "732-330-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 US-3 WEST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07012",
            "telephone_number": "973-777-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Knob Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077519515",
            "country_code": "US",
            "telephone_number": "732-330-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENDRIMADA",
        "first_name": "BIANCA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB11876600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Chaves Dalton, LPC
• Chelsey Soltis LLC
• Kunga Chemi
• Chalin Chen
• David Chen, MD
• Cheng-an Mao, MD, LLC
• Nathan W Cheng, MD
• Chicas Ceo LLC
• Jen Chie
• Jenny Chien, M.D.

• Pediatrics Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.