Active NPI
Chandra R White
- Lodging Provider
- Atco, NJ
National Provider Identifier
1760037600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Practice address
- 410 Holly Dr
Atco, NJ 08004-2002 - Phone
- (856) 761-6145
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | Primary |
Addresses
Primary practice location
410 Holly Dr
Atco, NJ 08004-2002
Mailing address
410 Holly Dr
Atco, NJ 08004-2002
Phone (856) 761-6145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 3CCCRALiving@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1760037600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 HOLLY DR",
"city": "ATCO",
"state": "NJ",
"postal_code": "080042002",
"telephone_number": "856-761-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 HOLLY DR",
"city": "ATCO",
"state": "NJ",
"postal_code": "080042002",
"telephone_number": "856-761-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CHANDRA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "3CCCRALiving@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "410 Holly Dr",
"city": "Atco",
"state": "NJ",
"country_code": "US",
"postal_code": "080042002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atco, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.