Individual provider Active NPI

Bindu Alex Antony

  • Family Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1982114674
Registry record updated Oct 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00742600 Issued in NJ
Practice address
312 Brentwood Ave
Cherry Hill, NJ 08002-2413
Phone
(609) 346-7392
NPI assigned
Oct 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00742600 NJ Primary

Addresses

Primary practice location

312 Brentwood Ave
Cherry Hill, NJ 08002-2413

Mailing address

312 Brentwood Ave
Cherry Hill, NJ 08002-2413
Phone (609) 346-7392

Other names 1

  • Bindu Chittethuparayil Mani Former name

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
I20180403001394 NJ Practitioner - Nurse Practitioner 9638431604 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Apr 1, 2022 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Apr 1, 2022 Accepting new patients

Locations

1175 Dehirsch Ave
Woodbine, NJ 08270
Phone (609) 861-2164

Organizations & group practices 3

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": "1507334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1982114674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BRENTWOOD AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022413",
            "telephone_number": "609-346-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BRENTWOOD AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022413",
            "telephone_number": "609-346-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "BINDU",
        "middle_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00742600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINDU",
            "last_name": "CHITTETHUPARAYIL MANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.