CHANDANI PATEL MD
NPI 1639819196
Family Medicine in Waretown, NJ
About Chandani Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANDANI PATEL MD (NPI 1639819196) is an individual family medicine provider in Waretown, New Jersey, licensed in New Jersey (25MA12702500) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and maintains a secondary practice location in Brick.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Chandani Patel Md 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 Reassignment
Medicare enrollment records show Chandani Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08758 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 Chandani Patel's NPI number?
The NPI number for Chandani Patel is 1639819196. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Chandani Patel located?
Chandani Patel practices at 501 Rte 9 South Suite 240, Waretown, NJ 08758. The listed phone number is (609) 693-1992.
What is Chandani Patel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chandani Patel enrolled in Medicare?
Yes. Chandani Patel 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 organization bills Medicare for Chandani Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandani Patel reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Chandani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chandani Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Chandani Patel 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.
Is Chandani Patel affiliated with any hospitals?
According to CMS data, Chandani Patel is affiliated with Jersey Shore University Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Chandani Patel was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Chandani Patel, MD · NPI 1639819196
Family Medicine physician in Waretown, New Jersey. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1639819196 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA12702500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 RTE 9 SOUTH, SUITE 240, Waretown, NJ 08758-1743
- **Phone:** (609) 693-1992
## 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:** Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639819196) · Data from the CMS NPPES public registry.