Joseph J Chanda MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME32634 Issued in FL

Legal business name

JOSEPH J CHANDA MD PA

Practice address

207 Silver Palm Ave
Melbourne, FL 32901-3143

Phone

(321) 724-4010

Fax

(321) 722-0442

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Joseph John Chanda, M.D.NPI 1538115548

Title

President

Phone

(321) 724-4010

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph John Chanda, M.D.

  • Procedural Dermatology Physician
  • Melbourne, FL
  • NPI 1538115548
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1831145200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SILVER PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013143",
            "telephone_number": "321-724-4010",
            "fax_number": "321-722-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SILVER PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013143",
            "telephone_number": "321-724-4010",
            "fax_number": "321-722-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J CHANDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CHANDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-724-4010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME32634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037366400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406073261",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "05392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catharina Ann Jordan
• Eric A Jordan, PA
• Julie K Jordan, LMHC
• Megan Lynn Jordan, DNP APRN PMHNP-BC
• Breanna Paige Jorgensen, RBT
• Cindy Joseph, M.D.
• Joji Joseph
• Matthew Valooran Joseph, DMD
• Reginald Joseph, PA
• Winsky Joseph

• Procedural Dermatology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.