NPIMap

Individual provider Active NPI

Chander K. Sachdeva, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Merchantville, NJ
National Provider Identifier
1629090915
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07696600 Issued in NJ
Practice address
7811 Maple Avenue
Merchantville, NJ 08109
Phone
(856) 488-1212
Fax
(856) 488-2224
NPI assigned
Jul 24, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD068155-L PA
Physical Medicine & Rehabilitation Physician 208100000X 25MA07696600 NJ Primary

Addresses

Primary practice location

7811 Maple Avenue
Merchantville, NJ 08109

Mailing address

20 Foxcroft Way
Mount Laurel, NJ 08054-5732
Phone (856) 222-0229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070719000234 NJ Practitioner - Physical Medicine and Rehabilitation 8325098999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

92 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 988-8778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD068155-LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Rehab Medicine Inc Physical Medicine & Rehabilitation CurrentSince Jul 1, 2007 Accepting new patients
New Jersey Rehab Medicine Inc CurrentSince Jul 1, 2007 Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients

Locations

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

92 Brick Rd
Marlton, NJ 08053
Phone (856) 988-4124

7811 Maple Ave
Pennsauken, NJ 08109
Phone (856) 488-1212

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1629090915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOXCROFT WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545732",
            "telephone_number": "856-222-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 MAPLE AVENUE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "08109",
            "telephone_number": "856-488-1212",
            "fax_number": "856-488-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "CHANDER",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD068155-L",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07696600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

Verify at the official NPI Registry.