Individual provider Active NPI

Chaddy Cantona, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clementon, NJ
National Provider Identifier
1932813110
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01389800 Issued in NJ
Practice address
1387 Chews Landing Rd
Clementon, NJ 08021-2760
Phone
(855) 765-6399
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01389800 NJ Primary

Addresses

Primary practice location

1387 Chews Landing Rd
Clementon, NJ 08021-2760

Mailing address

1387 Chews Landing Rd
Clementon, NJ 08021-2760
Phone (855) 765-6399

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505001501 NJ Practitioner - Nurse Practitioner 3274050166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1932813110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "855-765-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 CHEWS LANDING RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "855-765-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTONA",
        "first_name": "CHADDY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01389800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clementon, NJ

Sources for this page

Verify at the official NPI Registry.