Anise A Kachadourian, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MA71654 Issued in NJ

Practice address

776 E 3Rd Ave
Roselle, NJ 07203-1698

Phone

(908) 259-8817

Fax

(908) 259-8846

NPI assigned

May 3, 2006

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anise.kachadourian@direct.bayonnemedicalcenter.md

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

• Anise Kachadourian MD LLC

  • Hematology & Oncology Physician
  • Roselle, NJ
  • NPI 1205861861
  Authorized official Same address or phone
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Shonta D Collins Consulting Group LLC

  • Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1144797416
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1750349395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031698",
            "telephone_number": "908-259-8817",
            "fax_number": "908-259-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031698",
            "telephone_number": "908-259-8817",
            "fax_number": "908-259-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHADOURIAN",
        "first_name": "ANISE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA71654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207RH0003X",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9113304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "25MA07165400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asia Renee Jones
• Ralph Gregory Jones Jr.
• Fabiola Desrameaux Joseph
• Tiarra Tanae Joseph, MS, LAT, ATC
• Jr Friendly Pharmacy LLC (Friendly Pharmacy)
• Scott M Kelsey
• Keys to the Heart LLC
• Soo J Kim
• Dinah Kofie
• Kapil Kundra, D.M.D

• Hematology & Oncology Physician in Roselle, NJ
• Providers in Roselle, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.