Individual provider Active NPI

Nina P. Chopra, MD, MPH

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1881873891
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
247514 Issued in NY
Practice address
245 E 63Rd St
Suite 107
New York, NY 10065-7466
Phone
(212) 980-9292
NPI assigned
Oct 25, 2007
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA08527200 NJ
Dermatology Physician 207N00000X 247514 NY Primary

Addresses

Primary practice location

245 E 63Rd St
Suite 107
New York, NY 10065-7466

Mailing address

247 W 46TH St
Apt. 3305
New York, NY 10036-1409
Phone (202) 491-7537

Other practice location 1

825 Bloomfield Ave Ste 204
Verona, NJ 07044-1300
Phone (201) 623-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090421000436 NY Practitioner - Dermatology 2668529165 Reassigns benefits to 2 organizations
I20220915002503 NJ Practitioner - Dermatology 2668529165 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08527200NJMDDermatology Physician
247514NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geria Dermatology LLC Dermatology CurrentSince Jul 1, 2022 Accepting new patients
West 57TH Street Dermatology PLLC CurrentSince Jan 1, 2016 Accepting new patients
Advanced Dermatology Associates, P.a. Dermatology CurrentSince Jul 1, 2024 Accepting new patients

Locations

75 Orient Way
Ste 204
Rutherford, NJ 07070
Phone (201) 623-8000

825 Bloomfield Ave
Ste 204
Verona, NJ 07044
Phone (201) 623-8000

101 Old Short Hills Rd
Ste 205
West Orange, NJ 07052
Phone (973) 243-2300

101 Old Short Hills Rd
Ste 503
West Orange, NJ 07052
Phone (973) 243-2300

14 Harwood Ct
Ste 217
Scarsdale, NY 10583
Phone (914) 447-2410

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1881873891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 W 46TH ST",
            "address_2": "APT. 3305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361409",
            "telephone_number": "202-491-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 63RD ST",
            "address_2": "SUITE 107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657466",
            "telephone_number": "212-980-9292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Bloomfield Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441300",
            "country_code": "US",
            "telephone_number": "201-623-8000",
            "fax_number": "201-578-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "NINA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08527200",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "247514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.