National Provider Identifier Database

JISUN CHA, MD – NPI #1194950683
Dermatopathology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.


Contact Information

JISUN CHA, MD
65 BROADWAY STE 1606
NEW YORK, NY10006-2562
Phone: 267-737-8655
Fax:
Website:
Specialty Taxonomy Code
* Dermatopathology 207ND0900X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for JISUN CHA

NPI Number 1194950683
Credentials MD
Entity Individual
Enumeration date 05/27/2009
Last updated 09/23/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MA09071200
  • NY License #: 266475
  • PA License #: MD465852
  • RI License #: MA09071200
  • RI License #: MD12915
  • NJ Medicaid: 0315176
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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