K. Neena Chima, MD, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

K. NEENA CHIMA, MD, LLC

Doing business as

Corederm Dermatology & Cosmetic Center

Practice address

246 Hamburg Tpke
Suite 306
Wayne, NJ 07470-2156

Phone

(973) 956-0500

Fax

(973) 956-0522

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

K. Neena Chima, MD

Title

Owner

Phone

(973) 616-7117

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Corederm Dermatology & Cosmetic Center Doing business as

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1295836351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 306",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-956-0500",
            "fax_number": "973-956-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 306",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-956-0500",
            "fax_number": "973-956-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. NEENA CHIMA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "CHIMA",
        "authorized_official_first_name": "K. NEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-616-7117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "107610",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corederm Dermatology & Cosmetic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Patricia Joseph
• Monalisa Joseph, MD
• Felipe Tanseco Juan, MD
• Asha P Junankar, MS OTR, CHT
• Shanice Junor
• K.Neena Chima, M.D., L.L.C.
• Robin Kahwaty, OD
• Marianne A Kaleja, PT
• Mohammad M Kamal, PT
• Ahmed Kamel, MS,RD

• Dermatology Physician in Wayne, NJ
• Providers in Wayne, 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 Aug 19, 2010; 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.