Diana Kekhman, ARDMS#156912

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

156912 Issued in NJ

Practice address

411 Continental PLZ
Hackensack, NJ 07601-6328

Phone

(201) 661-2254

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1770104085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 E SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581702",
            "telephone_number": "917-750-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CONTINENTAL PLZ",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016328",
            "telephone_number": "201-661-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKHMAN",
        "first_name": "DIANA",
        "credential": "ARDMS#156912",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "156912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kci USA, Inc.
• Maria R Keanchong, MD
• Colleen Frances Kearney, APRN, BC
• Karen Marie Keating, APN
• Mira Kehar, MD
• Harley Daniel Kelley, M.D.
• Carrie J Kelly, RD
• Michael Aloysius Kelly, MD
• Tatyana Kennedy, AU. D., CCC-A
• Gilbert Kepecs, MD

• Diagnostic Ultrasound Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Diagnostic Ultrasound Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.