Organization Active NPI

K.Neena Chima, M.D., L.L.C.

  • Dermatology Physician
  • Wayne, NJ
National Provider Identifier
1750610069
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
K.NEENA CHIMA, M.D., L.L.C.
Practice address
508 Hamburg Tpke
Suite 101
Wayne, NJ 07470-8482
Phone
(973) 956-0500
Fax
(973) 956-0522
NPI assigned
Dec 15, 2009
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dr. K.Neena Chima, M.D.
Title
Owner
Phone
(973) 956-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

508 Hamburg Tpke
Suite 101
Wayne, NJ 07470-8482

Mailing address

508 Hamburg Tpke
Suite 101
Wayne, NJ 07470-8482
Phone (973) 956-0500

National Provider Directory

National Provider Directory

Locations

508 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-0500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1750610069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "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": "508 HAMBURG TPKE",
            "address_2": "SUITE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-956-0500",
            "fax_number": "973-956-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.NEENA CHIMA, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "CHIMA",
        "authorized_official_first_name": "K.NEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-956-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.