Swetha Kandula MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SWETHA KANDULA MD LLC

Doing business as

Dermatology and Skincare Center

Practice address

3695 Hill Rd Ste 2B
Parsippany, NJ 07054-1047

Phone

(973) 658-7546

Fax

(973) 658-7545

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Swetha Kandula, MDNPI 1861604795

Title

Owner/Physician

Phone

(217) 801-3989

Specialties & licenses 1

Addresses

Other names 1

• Dermatology and Skincare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Swetha Kandula, MD

  • Dermatology Physician
  • Parsippany, NJ
  • NPI 1861604795
  Medicare reassignment Care Compare group NPD Authorized official
• Donna M Thompson, APN

  • Nurse Practitioner
  • Parsippany, NJ
  • NPI 1174928980
  Medicare reassignment Care Compare group NPD
• Sabrina Marie Yekta

  • Physician Assistant
  • Parsippany, NJ
  • NPI 1023908498
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1144786740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 HILL RD STE 2B",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541047",
            "telephone_number": "973-658-7546",
            "fax_number": "973-658-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 HILL RD STE 2B",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541047",
            "telephone_number": "973-658-7546",
            "fax_number": "973-658-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWETHA KANDULA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "KANDULA",
        "authorized_official_first_name": "SWETHA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "217-801-3989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology and Skincare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Debra Swingle, APN
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• Vilayvanh Sysounthone, DPM
• Joshua A Szporn, LPC

• Dermatology Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.