Daliya Anoo Chandroth

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402815-01 Issued in NY

Practice address

15-01 Broadway Ste 24
Fair Lawn, NJ 07410-6006

Phone

(201) 410-8370

Fax

(833) 325-6766

NPI assigned

Sep 5, 2019

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hamilton Behavioral MD PAGroup PAC ID 8426294216, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Blossom NP in Psychiatry Health PLL

  • Psychiatry Physician
  • Fair Lawn, NJ
  • NPI 1417643842

  NY

  Medicare reassignment NPD Authorized official
• Hamilton Behavioral MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Paramus, NJ
  • NPI 1548500408
  Medicare reassignment Care Compare group NPD
• Tenafly Psychiatric Associates, L.L.C.

  • Psychiatry Physician
  • Tenafly, NJ
  • NPI 1821063835
  Medicare reassignment NPD
• Jay Lawrence Friedman, M.D., L.L.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1881829109
  NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1730738428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 24",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106006",
            "telephone_number": "201-410-8370",
            "fax_number": "833-325-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 24",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106006",
            "telephone_number": "201-410-8370",
            "fax_number": "833-325-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Forest Ave # A",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076525429",
            "country_code": "US",
            "telephone_number": "201-490-5158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDROTH",
        "first_name": "DALIYA",
        "middle_name": "ANOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402815-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna A Cerniglia, LSW
• David Robert Chabbott, MD
• Shayna Chamish, LSW
• Richard Chamorro, PTA
• Shweta Chandarana
• Regina Charles, LAC
• Chase Medical Group, PC
• Sadia R Chaudry, M.D.
• Samia Riaz Chaudry, D.O.
• Allison Chazen, LMT

• Psychiatric/Mental Health Nurse Practitioner in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.