DR. KHAYRIYYAH E.T. CHANDLER DO
NPI 1104077130
Family Medicine in Haddonfield, NJ
About Dr. Khayriyyah E.t. Chandler Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KHAYRIYYAH E.T. CHANDLER DO (NPI 1104077130) is an individual family medicine provider in Haddonfield, New Jersey, licensed in New Jersey (25MB09223100) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Khayriyyah E.t. Chandler Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Khayriyyah Chandler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Haddon Township, NJ 08108
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Princeton, NJ 08540
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Essential Diagnostics, PA
- 7 clinicians in this Medicare group
Galloway, NJ 08205
- Reassigned Medicare billing, New Jersey enrollment
- 921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Khayriyyah Chandler's NPI number?
The NPI number for Khayriyyah Chandler is 1104077130. It was assigned to this individual provider in the NPPES registry on October 8, 2008. The provider is also known as Dr. Khayriyyah E.T. Mack Do.
Where is Khayriyyah Chandler located?
Khayriyyah Chandler practices at 25A Tanner St, Haddonfield, NJ 08033. The listed phone number is (856) 874-8194.
What is Khayriyyah Chandler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Khayriyyah Chandler enrolled in Medicare?
Yes. Khayriyyah Chandler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Khayriyyah Chandler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khayriyyah Chandler reassigns Medicare benefits to 3 organizations: Virtua Medical Group, PA (Haddon Township, NJ), Essential Diagnostics, P.A. (Princeton, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khayriyyah Chandler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khayriyyah Chandler accept?
Health plans from Oscar Health list Khayriyyah Chandler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Khayriyyah Chandler was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Khayriyyah E.t. Chandler, DO · NPI 1104077130
Family Medicine physician in Haddonfield, New Jersey. Individual provider, active in the CMS NPPES registry since October 8, 2008.
## Identity
- **NPI:** 1104077130 (Entity type: Individual)
- **Enumerated:** October 8, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MB09223100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 25A TANNER ST, Haddonfield, NJ 08033-2403
- **Phone:** (856) 874-8194 · **Fax:** (856) 210-7068
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Virtua Medical Group, PA (NPI 1932659778, Haddon Township, NJ); Essential Diagnostics, P.A. (NPI 1376245753, Princeton, NJ); Atlanticare Physician Group, PA (NPI 1003820622, Galloway, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 5, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104077130) · Data from the CMS NPPES public registry.