Karishma Kancherla, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA10534700 Issued in NJ

Practice address

85 Newcomb Rd
Tenafly, NJ 07670-1527

Phone

(201) 951-4004

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: karishma.kancherla@tenpeds.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tenafly Pediatrics

  • Pediatrics Physician
  • Tenafly, NJ
  • NPI 1750347647

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1124479563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NEWCOMB RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NEWCOMB RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701527",
            "telephone_number": "201-951-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHERLA",
        "first_name": "KARISHMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10534700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Community Center on the Palisades
• Jina Park, LCSW LLC
• JNJC Medical LLC
• Diane L Jonas-Feit, DMD
• Kento Kamiyama, P.T., D.P.T
• Elena Kardonsky, LCSW
• Rena Melanie Katsev
• Mera Marie Keh, PMHNP-BC
• Lisa Keller
• Anna B Kelly, MD

• Pediatrics Physician in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.