MEDICARE: SUBHASHINI CHANDRASEKARAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	25MA12687100	NJ
2	207W00000X	Ophthalmology Physician	ME167099	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1851929822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUBHASHINI CHANDRASEKARAN MD

Provider Business Mailing Address
First Line	:	1 CORPORATE DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3112
Country	:	US
Telephone Number	:	201-766-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CORPORATE DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3112
Country	:	US
Telephone Number	:	120-176-6515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	09/16/2025

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