CHANDRU JAIN


Address: 1166 River Avenue, Ste 102, Lakewood, NJ 08701-5035
Phone: 7323649565

CHANDRU JAIN (NPI# 1427053024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
25MA05839100 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ RAILROAD 300090996 01
NJ 5381002 05

Office Location

Street Address 1166 RIVER AVENUE
STE 102
City LAKEWOOD
State NJ
Zip Code 08701-5035

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LAKEWOOD
Zip Code 08701

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Dataset Information

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.

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