Active NPI
Chandani Prabhu Ughareja, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1487116489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023429
- Practice address
- 2475 Saint Raymonds Ave
Bronx, NY 10461-3124 - Phone
- (845) 565-3700
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023429 | NY | Primary |
Addresses
Primary practice location
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Mailing address
484 Temple Hill Rd
New Windsor, NY 12553-5557
Other practice location 1
12 N 7th Ave
Mount Vernon, NY 10550-2026
Phone (845) 565-3700 ext. 214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- cughareja826377@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Urgent Care Clinic/Center
- Midland Park, NJ
- NPI 1508264177
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1487116489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TEMPLE HILL RD",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125535557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 SAINT RAYMONDS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613124",
"telephone_number": "845-565-3700"
}
],
"practiceLocations": [
{
"address_1": "12 N 7th Ave",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "NY",
"postal_code": "105502026",
"country_code": "US",
"telephone_number": "845-565-3700 x214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UGHAREJA",
"first_name": "CHANDANI",
"middle_name": "PRABHU",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.