Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chantal White

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134012404

Chantal White is a Nurse Practitioner in Newark, New Jersey. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone: (201) 822-1161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 610 Valley Health Plz, Paramus, NJ 07652-3607 — (201) 649-4466

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15481900 (NJ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NR16382000 (NJ)

Record details

NPI number1134012404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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