Active NPI
Chandni Patel, MD
- Pediatric Cardiology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 25MA10647100
- Practice address
- 254 Easton Ave
Mob2 Pediatric Cardiology
New Brunswick, NJ 08901 - Phone
- (732) 846-2855
- Fax
- (732) 745-4680
- NPI assigned
- Apr 29, 2012
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 25MA10647100 | NJ | Primary |
Addresses
Primary practice location
254 Easton Ave
Mob2 Pediatric Cardiology
New Brunswick, NJ 08901
Mailing address
254 Easton Ave
Mob2 Pediatric Cardiology
New Brunswick, NJ 08901
Phone (732) 846-2855
Other practice location 1
9000 W Wisconsin Ave
Milwaukee, WI 53226
Phone (414) 266-6457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760740617 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10647100 | NJ | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Pediatrics | Current | Accepting new patients |
| Childens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Pediatric Cardiology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Childen's Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Past | Accepting new patients |
Locations
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
254 Easton Ave
#2
New Brunswick, NJ 08901
Phone (732) 846-2855
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Organizations & group practices 8
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
dba Chca NJ
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
dba CHCA NJ Emergency Medicine
- Pediatric Emergency Medicine (Pediatrics) Physician
- Voorhees, NJ
- NPI 1467547471
-
dba CHCA NJ Endocrinology
- Pediatric Endocrinology Physician
- Voorhees, NJ
- NPI 1356436364
-
dba CHCA Nurse Practitioners
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
dba CHCA Cardiology
- Pediatric Cardiology Physician
- Philadelphia, PA
- NPI 1639264682
-
dba CHCA Neonatology
- Neonatal-Perinatal Medicine Physician
- Philadelphia, PA
- NPI 1417042466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1760740617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"address_2": "MOB2 PEDIATRIC CARDIOLOGY",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901",
"telephone_number": "732-846-2855",
"fax_number": "732-745-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"address_2": "MOB2 PEDIATRIC CARDIOLOGY",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901",
"telephone_number": "732-846-2855",
"fax_number": "732-745-4680"
}
],
"practiceLocations": [
{
"address_1": "9000 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53226",
"country_code": "US",
"telephone_number": "414-266-6457",
"fax_number": "414-266-2294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "CHANDNI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-29",
"last_updated": "2021-09-30",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NJ",
"license": "25MA10647100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760740617",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.