CHANDRU JAIN (NPI# 1427053024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427053024 |
Entity Type | Individual |
Full Name | CHANDRU JAIN |
Credential | M.D., P.C. |
Practice Address |
1166 River Avenue Ste 102 Lakewood NJ 08701-5035 |
Mailing Address |
1166 River Ave Lakewood NJ 08701-5600 |
Practice Telephone | 7323649565 |
Practice Fax Number | 7323641908 |
Mailing Telephone | 7323646004 |
Mailing Fax Number | 7323641908 |
Enumeration Date | 2005-06-20 |
Last Update Date | 2016-07-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA05839100 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | RAILROAD | 300090996 | 01 |
NJ | 5381002 | 05 |
Street Address |
1166 RIVER AVENUE STE 102 |
City | LAKEWOOD |
State | NJ |
Zip Code | 08701-5035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
Find all providers in zip 08701 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568822351 | Med Health Diagnostics Corp | Radiology | 118 Liberty Dr, Lakewood, NJ 08701-4135 | 2016-03-07 |
1336175454 | Cdi Northwest LLC | Radiology | 7308 Bridgeport Way West, Suite 101, Lakewood, WA 98499 | 2006-06-23 |
1669439667 | Chin Seung | Radiology | 3700 South St, Lakewood, CA 90712-1419 | 2006-04-26 |
1831158468 | Raymond Alan Mencini | Radiology | 11700 W 2nd Pl Ste 100, Lakewood, CO 80228-1707 | 2006-03-22 |
1013986249 | John B Whitaker | Radiology | 12687 W Cedar Dr Ste 200, Lakewood, CO 80228-2014 | 2006-03-17 |
1255300745 | Robert S Seigel | Radiology | 12687 W Cedar Dr, Suite 200, Lakewood, CO 80228-2010 | 2006-03-16 |
1255306726 | Colorado Imaging Associates PC | Radiology | 11600 West 2nd Place, Lakewood, CO 80228 | 2006-02-20 |
1629065602 | Arash Momeni | Radiology | 1746 Cole Blvd Ste 150, Lakewood, CO 80401-3267 | 2005-10-04 |
1770586356 | Andrew A Meade | Radiology | 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 | 2005-05-27 |
1386284834 | Century Radiology Medical Group, Inc | Radiology | 3700 South St, Lakewood, CA 90712-1419 | 2020-01-13 |
Find all providers in LAKEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.