JISUN CHA MD (NPI# 1922341783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922341783 |
| Entity Type | Organization |
| Organization Name | JISUN CHA MD |
| Practice Address |
460 Sylvan Ave Englewood NJ 07632-2919 |
| Practice Telephone | 2015670330 |
| Mailing Telephone | 2015670330 |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | DR. JISUN CHA (PRESIDENT) |
| Authorized Official Telephone | 2015670330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA09071200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
460 SYLVAN AVE |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07632-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598247942 | Joanne Y. Y Ji | Acupuncturist | 400 Sylvan Ave Ste#108, Englewood Cliffs, NJ 07632 | 2018-09-02 |
| 1497260111 | Pm Medical Acu. PC | Acupuncturist | 11 New Street, Suite #1, Englewood Cliffs, NJ 07632 | 2017-12-04 |
| 1548795628 | Greene Oaks Operating LLC | Skilled Nursing Facility | 180 Sylvan Av 2nd Floor, Suite 4, Englewood Cliffs, NJ 07632 | 2017-04-26 |
| 1821482134 | Cortland Acquisition LLC | Skilled Nursing Facility | 180 Sylvan Avenue, Carerite Centers LLC, Englewood Cliffs, NY 07632 | 2015-03-25 |
| 1609125475 | Ys Physical Therapy / Best Pain Clinic | Clinic/Center | 140 Sylvan Avenue, Suite 107, Englewood Cliffs, NJ 07632 | 2012-09-07 |
| 1134422785 | John S Cho Md, PC | Anesthesiology | 464 Hudson Terrace Suite 104, Englewood Cliffs, NJ 07632 | 2010-12-20 |
| 1700043841 | North Jersey Rehabilitation Center PC | Acupuncturist | 120 Van Nostrand Ave 1st Fl, Englewood Cliffs, NJ 07632 | 2008-05-16 |
| 1942488572 | Chang H Lee | Clinic/Center | 120 Charlotte Place, Middle Level, Englewood Cliffs, NJ 07632 | 2008-02-06 |
| 1538383336 | Christiane Elhamy Shaker | Pediatrics | 263 Center St, Englewood Cliffs, NJ 07632 | 2007-04-12 |
| 1689728883 | Dina F Rhodes | Physical Therapist | 610 E Palisade Ave, Englewood Cliffs, NJ 07632 | 2007-01-23 |
| Find all providers in zip 07632 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
| 1417357922 | Premier Dermatology, LLC | Dermatology | 900 Pine Street 122 / 123, Englewood, FL 34233-0000 | 2014-09-03 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| 1093819369 | Kimberly C Stone | Dermatology | 3701 S Clarkson St, Ste 300, Englewood, CO 80113-3960 | 2006-09-08 |
| 1063493898 | Chang Bae Son | Dermatology | 200 Grand Ave 201, Englewood, NJ 07631-4363 | 2005-11-09 |
| 1134691058 | Dawson Dermatology Group Pllc | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113-2780 | 2018-12-18 |
| 1811472111 | Englewood Dermatology Center | Dermatology | 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 | 2018-10-02 |
| 1104274919 | Forefront Dermatology, S.c. | Dermatology | 5 W Wenger Rd, Englewood, OH 45322 | 2016-06-02 |
| 1497010250 | Tanya Nicole Riddle | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2012-07-09 |
| 1558620385 | Michelle Pennie Md LLC | Dermatology | 900 Pine St, Ste 122-123, Englewood, FL 34223-4418 | 2012-05-14 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.