Jisun Cha MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA09071200 Issued in NJ

Legal business name

JISUN CHA MD

Practice address

460 Sylvan Ave
Englewood, NJ 07632-2919

Phone

(201) 567-0330

NPI assigned

Mar 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jisun Cha, MD

Title

President

Phone

(201) 567-0330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1922341783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SYLVAN AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076322919",
            "telephone_number": "201-567-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SYLVAN AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076322919",
            "telephone_number": "201-567-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JISUN CHA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "JISUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09071200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Association for Developmental Disabilities
• Minaxi Jhawer, MBBS
• Julie Jhin
• Diana Jin, MD
• Jonathan Jin, PT, DPT
• JK Psychological Consulting LLC
• Joanne W. Cazeau LLC
• Joann Johnson, PTA
• Joy V Johnson, PHARMD
• Kelly Danielle Johnson, BSN, RNC-MNN, CBC

• Dermatology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.