Indra Cidambi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07770100 Issued in NJ

Practice address

19 Prospect St
Summit, NJ 07901-2530

Phone

(800) 522-7000

Fax

(800) 522-7098

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Mountain Hospital Inc

  • Psychiatric Hospital
  • Belle Mead, NJ
  • NPI 1184626152
  NPD (past)
• East Mountain Hospital, Inc.

  • Psychiatry Physician
  • Belle Mead, NJ
  • NPI 1437366127
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528097631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PROSPECT ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012530",
            "telephone_number": "800-522-7000",
            "fax_number": "800-522-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PROSPECT ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012530",
            "telephone_number": "800-522-7000",
            "fax_number": "800-522-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIDAMBI",
        "first_name": "INDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07770100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Maria Chrzanowski, MS OTR/L
• Brian C Chu, PH.D.
• Chen Chu, APN
• Ya Huei C Chu
• Jay Young Chun, MD
• Charles P Ciolino, MD
• Kristine M Cisko, PA-C
• Connor Clark
• Julia Nicole Clayton, PT
• CM Medical Systems LLC

• Psychiatry Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.