Chanmonie Kaulesar, ANP-C, GNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00268300 Issued in NJ

Practice address

90 Bergen St
Suite 3400
Newark, NJ 07103-2425

Phone

(973) 972-2085

Fax

(973) 972-2130

NPI assigned

Aug 18, 2010

Last updated

May 12, 2015By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Innovative Spine and Pain Center, P.C.

  • Interventional Pain Medicine Physician
  • Newark, NJ
  • NPI 1801340385
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1548575269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BERGEN STREET",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2085",
            "fax_number": "973-972-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2085",
            "fax_number": "973-972-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAULESAR",
        "first_name": "CHANMONIE",
        "name_prefix": "Dr.",
        "credential": "ANP-C, GNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00268300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris Katz, PT
• Ying C Kau, D.M.D
• Melanie Erin Kaufer, M.D.
• Andrew Greg Kaufman, M.D.
• Adam Kaufmann, MD
• Maninderpal Kaur, M.D.
• Manpreet Kaur
• Neil Kaushal, M.D.
• Nikhil K Kaushal, MD
• Kavod Healthcare System LLC

• Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.