Individual provider Active NPI

Bhavini S Chandarana, M.D.

  • Interventional Pain Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1902826589
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA07852000 Issued in NJ
Practice address
315 Route 34 Ste 135
Colts Neck, NJ 07722-2444
Phone
(732) 414-6499
Fax
(844) 890-8439
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA07852000 NJ
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 25MA07852000 NJ Primary

Addresses

Primary practice location

315 Route 34 Ste 135
Colts Neck, NJ 07722-2444

Mailing address

PO Box 69
Colts Neck, NJ 07722-0069
Phone (732) 414-6499

Other practice location 1

2446 Church Rd Ste 2E
Toms River, NJ 08753-8182
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

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

Other practice location 5

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

Other practice location 6

119-137 Clifford St.
Suite# 106
Newark, NJ 07105
Phone (973) 522-0008

Other identifiers 3

IdentifierTypeStateIssuer
0089214MedicaidNJ
P01924026OtherNJMEDICARE RAILROAD
096153ZFCCOtherNJMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000028 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9638115983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 Route 34
Suite 135
Colts Neck, NJ 07722-2444
Phone (732) 414-6499

315 Route 34 135
Colts Neck, NJ 07722-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07852000NJMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhavini S Chandarana MD LLC Single Specialty CurrentSince Nov 22, 2005 Accepting new patients
Bhavini S Chandarana MD LLC Single Specialty CurrentSince Nov 6, 2009 Accepting new patients

Locations

420 State Route 34
Ste 317
Colts Neck, NJ 07722
Phone (732) 252-6155

315 State Route 34
Ste 135
Colts Neck, NJ 07722

140 Park Ave
East Orange, NJ 07017
Phone (888) 444-5996

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

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

20 Cherry Tree Farm Rd
Ste 101
Middletown, NJ 07748

2446 Church Rd
Ste 2E
Toms River, NJ 08753
Phone (732) 255-1910

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1902826589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220069",
            "telephone_number": "732-414-6499",
            "fax_number": "844-890-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROUTE 34 STE 135",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222444",
            "telephone_number": "732-414-6499",
            "fax_number": "844-890-8439"
        }
    ],
    "practiceLocations": [
        {
            "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": "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": "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": "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"
        },
        {
            "address_1": "119-137 Clifford St.",
            "address_2": "Suite# 106",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "07105",
            "country_code": "US",
            "telephone_number": "973-522-0008",
            "fax_number": "973-522-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDARANA",
        "first_name": "BHAVINI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA07852000",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA07852000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089214",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01924026",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "096153ZFCC",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.