Chitra Kodery

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB09758200 Issued in NJ

Practice address

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768

Phone

(609) 845-3988

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Naspac1 LLCGroup PAC ID 1355563404, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Naspac1 LLC

  • Pain Medicine (Anesthesiology) Physician
  • Hainesport, NJ
  • NPI 1528483245
  Medicare reassignment Care Compare group NPD
• Bergen County Improvement Authority

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1891836441
  Medicare reassignment NPD
• HMC-TR LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1215562301
  Medicare reassignment NPD
• Bergen County Improvement Authority

  • Psychiatric Hospital Unit
  • Paramus, NJ
  • NPI 1952456295
  NPD
• Naspac1 LLC

  • Interventional Pain Medicine Physician
  • East Orange, NJ
  • NPI 1720756216
  NPD

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1538422993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODERY",
        "first_name": "CHITRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09758200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638951",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivdeep Kaur, APN
• KDPB Inc
• Kids Circle
• Michael Stephen Kirk Jr., D.C.
• Christine Kirkbride, MSW, LCSW
• Nina Kovalev, FNP
• Kre Inc
• Jinhee Kwak, M.D.
• Mary Regina Laskowski, D.C.
• Legacy Treatment Serivces, Inc.

• Family Medicine Physician in Hainesport, NJ
• Providers in Hainesport, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.