Active NPI
Bindu Alex Antony
- Family Nurse Practitioner
- Cherry Hill, NJ
National Provider Identifier
1982114674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00742600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current | 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.
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- NPI 1982642641
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- NPI 1295786440
-
- Psychiatric Hospital
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- NPI 1336221878
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.