Organization Active NPI

Bhavini S Chandarana MD LLC

  • Interventional Pain Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1801059019
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
BHAVINI S CHANDARANA MD LLC
Practice address
420 RT 34
Suite 317
Colts Neck, NJ 07722
Phone
(732) 414-6499
Fax
(732) 510-0616
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Bhavini S Chandarana, MDNPI 1902826589
Title
Owner
Phone
(732) 414-6499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

420 RT 34
Suite 317
Colts Neck, NJ 07722

Mailing address

420 Route 34
Suite 317
Colts Neck, NJ 07722
Phone (732) 414-6499

Other practice location 1

44 Route 27 Ste 200D
Edison, NJ 08820-3978
Phone (732) 414-6499

Other practice location 2

2446 Church Rd Ste 2E
Toms River, NJ 08753-8182
Phone (732) 414-6499

Other practice location 3

20 Cherry Tree Farm Rd Ste 101
Middletown, NJ 07748-2251
Phone (732) 414-6499

Other practice location 4

944 Westside Ave
Jersey City, NJ 07306-6515
Phone (732) 414-6499

Other identifiers 2

IdentifierTypeStateIssuer
0089214MedicaidNJ
648846001OtherNJDME PTAN

Other names 1

  • Advanced Pain Management & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091217000021 NJ Part B Supplier - Clinic/Group Practice 9830239193 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, NJ; Jersey City, NJ; East Orange, NJ; Colts Neck, NJ

National Provider Directory

National Provider Directory

Locations

315 State Route 34
Ste 135
Colts Neck, NJ 07722

44 State Route 27
Ste 200D
Edison, NJ 08820
Phone (732) 319-7765

944 Westside Ave
Jersey City, NJ 07306
Phone (201) 432-3693

590 Newark Ave
Ste 2C
Jersey City, NJ 07306
Phone (973) 522-0008

1215 Route 70
Ste 2000
Lakewood, NJ 08701
Phone (732) 719-1800

20 Cherry Tree Farm Rd
Ste 101
Middletown, NJ 07748

6000 Kennedy Blvd W
Ste 101
West New York, NJ 07093
Phone (973) 522-0008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1801059019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ROUTE 34",
            "address_2": "SUITE 317",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "07722",
            "telephone_number": "732-414-6499",
            "fax_number": "732-510-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 RT 34",
            "address_2": "SUITE 317",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "07722",
            "telephone_number": "732-414-6499",
            "fax_number": "732-510-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Route 27 Ste 200D",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203978",
            "country_code": "US",
            "telephone_number": "732-414-6499",
            "fax_number": "844-890-8439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2446 Church Rd Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087538182",
            "country_code": "US",
            "telephone_number": "732-414-6499",
            "fax_number": "844-890-8439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Cherry Tree Farm Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482251",
            "country_code": "US",
            "telephone_number": "732-414-6499",
            "fax_number": "844-890-8439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "944 Westside Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073066515",
            "country_code": "US",
            "telephone_number": "732-414-6499",
            "fax_number": "844-890-8439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BHAVINI S CHANDARANA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "CHANDARANA",
        "authorized_official_first_name": "BHAVINI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-414-6499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089214",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "648846001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Management & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Pain Management & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.