Individual provider Active NPI

Sandhya Chilukala, APN-C

  • Primary Care Nurse Practitioner
  • Lake Hiawatha, NJ
National Provider Identifier
1619564705
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01088100 Issued in NJ
Practice address
199C N Beverwyck Rd Apt C9
Lake Hiawatha, NJ 07034-1423
Phone
(270) 992-2299
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X 26NJ01088100 NJ Primary

Addresses

Primary practice location

199C N Beverwyck Rd Apt C9
Lake Hiawatha, NJ 07034-1423

Mailing address

199C N Beverwyck Rd Apt C9
Lake Hiawatha, NJ 07034-1423
Phone (270) 992-2299

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
I20210524001762 NJ Practitioner - Nurse Practitioner 7810396884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manish P. Luhana MD LLCGroup PAC ID 9739105834, 2 clinicians
Gold Standard Medical Group PCGroup PAC ID 2961762554, 32 clinicians

Practice addresses (Care Compare)

239 Baldwin Rd
Suite 108
Parsippany, NJ 07054-7503
Phone (973) 334-2265

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manish P. Luhana MD LLC Single Specialty CurrentSince Feb 16, 2021 Accepting new patients
Gold Standard Medical Group PC Single Specialty CurrentSince Jun 14, 2025 Accepting new patients

Locations

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

610 Washington Blvd
Jersey City, NJ 07310
Phone (201) 222-1266

239 Baldwin Rd
Ste 108
Parsippany, NJ 07054
Phone (973) 334-2265

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1619564705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199C N BEVERWYCK RD APT C9",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070341423",
            "telephone_number": "270-992-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199C N BEVERWYCK RD APT C9",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070341423",
            "telephone_number": "270-992-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILUKALA",
        "first_name": "SANDHYA",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01088100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

Verify at the official NPI Registry.