Individual provider Active NPI

Chinasa Chudi-Attah

  • Family Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1477246007
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14843200 Issued in NJ
Practice address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
Phone
(844) 929-0225
NPI assigned
May 30, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 26NJ14843200 NJ Primary

Addresses

Primary practice location

8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967

Mailing address

68 Garfield PL
Parlin, NJ 08859-1537
Phone (732) 318-2000

Other practice location 1

1024 Park Ave Ste 6A
Plainfield, NJ 07060-3015
Phone (908) 222-8400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914000028 NJ Practitioner - Nurse Practitioner 2567826266 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14843200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inman Medical Associates,LLC CurrentSince Jun 1, 2023 Accepting new patients
Galaxy Care LLC CurrentSince Aug 25, 2024 Accepting new patients
Lightful Healthcare LLC Family CurrentSince Aug 1, 2025 Accepting new patients
SM Trinity Primary Care LLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

2 Lincoln Hwy
Ste 410
Edison, NJ 08820
Phone (732) 672-3140

1024 Park Ave
Ste 6A
Plainfield, NJ 07060
Phone (908) 222-8400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1477246007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GARFIELD PL",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591537",
            "telephone_number": "732-318-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 BLACK HORSE PIKE STE 501",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322967",
            "telephone_number": "844-929-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 Park Ave Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "NJ",
            "postal_code": "070603015",
            "country_code": "US",
            "telephone_number": "908-222-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDI-ATTAH",
        "first_name": "CHINASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14843200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.