1295051696 NPI number — DR. NEHA DAS CHHEDA M.D.

Table of content: DR. NEHA DAS CHHEDA M.D. (NPI 1295051696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295051696 NPI number — DR. NEHA DAS CHHEDA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHHEDA
Provider First Name:
NEHA
Provider Middle Name:
DAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DAS
Provider Other First Name:
NEHA
Provider Other Middle Name:
MITALI
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1295051696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 KALISA WAY STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARAMUS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07652-3538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-447-0013
Provider Business Mailing Address Fax Number:
201-447-0438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 KALISA WAY STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAMUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07652-3538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-447-0013
Provider Business Practice Location Address Fax Number:
201-447-0438
Provider Enumeration Date:
04/12/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  25MA09679900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)