Individual provider Active NPI

Linda Chandy, AGNP

  • Gerontology Nurse Practitioner
  • Huntingdon Valley, PA
National Provider Identifier
1780435149
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP029461 Issued in PA
Practice address
3780 Sipler LN
Huntingdon Valley, PA 19006-2720
Phone
(610) 804-2187
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP029461 PA Primary

Addresses

Primary practice location

3780 Sipler LN
Huntingdon Valley, PA 19006-2720

Mailing address

3780 Sipler LN
Huntingdon Valley, PA 19006-2720
Phone (610) 804-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240514000682 PA Practitioner - Nurse Practitioner 8123469772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PLLCGroup PAC ID 4789104589, 3 clinicians

Practice addresses (Care Compare)

3430 Huntingdon Pike
Huntingdon Valley, PA 19006-3716
Phone (215) 938-7171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029461PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality NP Group LLC Gerontology CurrentSince Apr 2, 2024 Accepting new patients

Locations

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

1480 Oxford Valley Rd
Yardley, PA 19067
Phone (215) 321-3921

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1780435149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 SIPLER LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062720",
            "telephone_number": "610-804-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 SIPLER LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062720",
            "telephone_number": "610-804-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDY",
        "first_name": "LINDA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP029461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.