| Mariam R Chandler, APN | |
|
87 State Rt 17 N, Ste 1-118, Maywood, NJ 07607-1017 | |
| (551) 996-4450 | |
| Not Available |
| Full Name | Mariam R Chandler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 87 State Rt 17 N, Maywood, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316764111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ15157400 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1901 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam R Chandler, APN 331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688 Ph: Not Available | Mariam R Chandler, APN 87 State Rt 17 N, Ste 1-118, Maywood, NJ 07607-1017 Ph: (551) 996-4450 |
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