Active NPIIndividual provider

Daliya A Chandroth

Nurse Practitioner, Psych/Mental Health in Fair Lawn, New Jersey

NPI Number1730738428
Practice location
15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006
Fax
833-325-6766
Last updated
June 3, 2024

Daliya Anoo Chandroth is a Nurse Practitioner, Psych/Mental Health based in Fair Lawn, NJ. Daliya Anoo Chandroth practices in Fair Lawn, NJ. The NPI Number for Daliya Anoo Chandroth is 1730738428 and holds a License No. F402815-01 (NY). The current practice location address for Daliya Anoo Chandroth is 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006 and can be reached out via phone at 201-410-8370 and via fax at 833-325-6766.

Provider Profile Details

NPI Number
1730738428
Provider Name
Daliya Anoo Chandroth
Provider Entity Type
Individual
Gender
Female
Address
15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006
Phone Number
201-410-8370
Fax Number
833-325-6766
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2019
Last Update Date
June 3, 2024
Certification Date
June 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway Ste 24
Fair Lawn, NJ 07410-6006
Zip
07410-6006
Phone Number
201-410-8370
Fax Number
833-325-6766
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Broadway Ste 24
Fair Lawn, NJ 07410-6006
City
Fair Lawn
State
NJ
Zip
07410-6006
Phone Number
201-410-8370
Fax Number
833-325-6766

License Information

License Number
F402815-01
License State
NY
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Daliya A Chandroth?

The NPI number of Daliya A Chandroth is 1730738428. It was assigned on September 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Daliya A Chandroth?

Daliya A Chandroth is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number F402815-01.

Where does Daliya A Chandroth practice?

The practice location is 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006. The office can be reached at 201-410-8370 (phone) or 833-325-6766 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730738428 directly on the NPPES registry website.

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