Kokila Chandarana, M.D; PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA03070600 Issued in NJ

Legal business name

KOKILA CHANDARANA, M.D; PA

Practice address

140 Park Ave
Windsor Garden Care Center
East Orange, NJ 07017-5248

Phone

(973) 677-1500

Fax

(973) 675-0512

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kokila Shashikant Chandarana, M.D.

Title

President

Phone

(908) 580-1025

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1275700809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NOTTINGHAM WAY",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596753",
            "telephone_number": "908-580-1025",
            "fax_number": "908-548-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK AVE",
            "address_2": "WINDSOR GARDEN CARE CENTER",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070175248",
            "telephone_number": "973-677-1500",
            "fax_number": "973-675-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKILA CHANDARANA, M.D; PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CHANDARANA",
        "authorized_official_first_name": "KOKILA",
        "authorized_official_middle_name": "SHASHIKANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-580-1025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA03070600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kmed Medical Solutions
• John Knoll
• Wen-Ting Ko, ANP-C
• Evan O Koch, RDN
• Dorothy B Koenig, RDH
• Dennis Kordie
• Lilian Kordie
• Aylin Kose
• Nora D Krick, NP
• Lisa Krijger, M.D.

• Physical Medicine & Rehabilitation Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.