Active NPIOrganization

Jisun Cha MD

Dermatology in Englewood, New Jersey

NPI Number1922341783
Practice location
460 Sylvan Ave, Englewood, NJ 07632-2919
Fax
—
Last updated
September 26, 2013

Jisun Cha MD is a healthcare organization based in Englewood, NJ. Jisun Cha MD practices in Englewood, NJ. The NPI Number for Jisun Cha MD is 1922341783 and holds a License No. 25MA09071200 (NJ). The current practice location address for Jisun Cha MD is 460 Sylvan Ave, Englewood, NJ 07632-2919 and can be reached out via phone at 201-567-0330.

Provider Profile Details

NPI Number
1922341783
Provider Name
Jisun Cha MD
Provider Entity Type
Organization
Address
460 Sylvan Ave, Englewood, NJ 07632-2919
Phone Number
201-567-0330
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Dr. Jisun Cha, MD · President · 201-567-0330
Provider Enumeration Date
March 30, 2013
Last Update Date
September 26, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Sylvan Ave
Englewood, NJ 07632-2919
Zip
07632-2919
Phone Number
201-567-0330
Englewood, NJ 07632Get directions →

Provider Business Mailing Address Details

Address
460 Sylvan Ave
Englewood, NJ 07632-2919
City
Englewood
State
NJ
Zip
07632-2919
Phone Number
201-567-0330

License Information

License Number
25MA09071200
License State
NJ
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jisun Cha MD?

The NPI number of Jisun Cha MD is 1922341783. It was assigned on March 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Jisun Cha MD?

Jisun Cha MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MA09071200.

Where does Jisun Cha MD practice?

The practice location is 460 Sylvan Ave, Englewood, NJ 07632-2919. The office can be reached at 201-567-0330 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922341783 directly on the NPPES registry website.

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