Individual provider Active NPI

Tosca Elana Kinchelow, MD

  • Infectious Disease Physician
  • Ridgewood, NJ
National Provider Identifier
1316027105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA03496900 Issued in NJ
Practice address
471 E Saddle River Rd
Ridgewood, NJ 07450-2019
Phone
(201) 925-2400
Fax
(201) 612-1104
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA03496900 NJ Primary

Addresses

Primary practice location

471 E Saddle River Rd
Ridgewood, NJ 07450-2019

Mailing address

471 E Saddle River Rd
Ridgewood, NJ 07450-2019
Phone (201) 925-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03496900NJMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316027105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E SADDLE RIVER RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502019",
            "telephone_number": "201-925-2400",
            "fax_number": "201-612-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E SADDLE RIVER RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502019",
            "telephone_number": "201-925-2400",
            "fax_number": "201-612-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCHELOW",
        "first_name": "TOSCA",
        "middle_name": "ELANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA03496900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.