Individual provider Active NPI

Swetha Kandula, MD

  • Dermatology Physician
  • Parsippany, NJ
National Provider Identifier
1861604795
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA09358000 Issued in NJ
Practice address
3695 Hill Road, Suite 2B
Parsippany, NJ 07054
Phone
(973) 658-7546
Fax
(973) 425-5683
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA09358000 NJ Primary

Addresses

Primary practice location

3695 Hill Road, Suite 2B
Parsippany, NJ 07054

Mailing address

3695 Hill Road, Suite 2B
Parsippany, NJ 07054
Phone (973) 658-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000628 NJ Practitioner - Dermatology 0143478206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swetha Kandula MD LLCGroup PAC ID 6103168133, 2 clinicians

Practice addresses (Care Compare)

3695 Hill Rd
Suite 2B
Parsippany, NJ 07054-1047
Phone (973) 658-7546

Merit-based Incentive Payment System (MIPS)

Final score
97.88 of 100Reported as individual
Quality
95.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions699
Removal or shaving of skin growth39
Skin biopsy159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Laser & Skin Therapeutics PC Dermatology CurrentSince Oct 28, 2013 Accepting new patients
Swetha Kandula MD LLC Dermatology CurrentSince Dec 10, 2015 Accepting new patients
Gangaram Ragi Dermatology CurrentSince Jan 1, 2016 Accepting new patients
Lahey Clinic, Inc Past Accepting new patients
Chatham Chiropractic Center Past Accepting new patients

Locations

417 Main St
Chatham, NJ 07928
Phone (973) 635-2290

3695 Hill Rd
Ste 2B
Parsippany, NJ 07054
Phone (973) 658-7546

870 Palisade Ave
Ste 302
Teaneck, NJ 07666
Phone (201) 836-9696

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1861604795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 HILL ROAD, SUITE 2B",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-658-7546",
            "fax_number": "973-425-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 HILL ROAD, SUITE 2B",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-658-7546",
            "fax_number": "973-425-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDULA",
        "first_name": "SWETHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09358000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.