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Contact Information

CHANDRU JAIN, M.D., P.C.
1166 RIVER AVENUE
STE 102
LAKEWOOD TOWNSHIP, NJ08701-5035
 Phone: 732-364-9565
 Fax: 732-364-1908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CHANDRU JAIN · (Male)

NPI # 1427053024
Status Active
Credentials M.D., P.C.
Entity Individual
Enumeration date 06/20/2005
Last updated 07/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA05839100
  • NJ Medicaid 5381002
  • NJ Other 300090996 RAILROAD
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • RARITAN BAY MEDICAL CENTER - (Acute Care)
    530 NEW BRUNSWICK AVE
    PERTH AMBOY, NJ 08861
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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