Individual provider

Jisun Cha, M.D.

Dermatopathology Physician Dermatology Physician Medicare enrolled

Jisun Cha, M.D. is a Dermatopathology Physician in New York, NY, registered under NPI 1194950683. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 65 BROADWAY STE 1606, New York, NY 10006. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

65 BROADWAY STE 1606, New York, NY 10006 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
266475 NY Dermatopathology Physician primary
MD465852 PA Dermatology Physician
MD12915 RI Dermatology Physician
25MA09071200 NJ Dermatology Physician
266475 NY Dermatology Physician
25MA09071200 NJ Dermatopathology Physician
MA09071200 RI Dermatopathology Physician
MD465852 PA Dermatopathology Physician

Licences are recorded in 4 states: NY, PA, RI, NJ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pathology
PAC ID
0446430953

Medicare enrolment is recorded as approved under the provider type Practitioner - Pathology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: New Jersey, New York, Pennsylvania and Rhode Island. The practice address on file is in New York, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NJ New Jersey
Licence
25MA09071200
Specialty
Dermatology Physician
Verify with the NJ board →
NY New York practice address
Licence
266475
Specialty
Dermatopathology Physician
Verify with the NY board →
PA Pennsylvania
Licence
MD465852
Specialty
Dermatology Physician
Verify with the PA board →
RI Rhode Island
Licence
MD12915
Specialty
Dermatology Physician
Verify with the RI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Dermatopathology covers

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. NUCC Health Care Provider Taxonomy, code 207ND0900X
Allopathic & Osteopathic Physicians Dermatology Dermatopathology

All registered taxonomy codes

This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0900X Dermatopathology Physician Dermatopathology 266475 NY primary
207N00000X Dermatology Physician MD465852 PA
207N00000X Dermatology Physician MD12915 RI
207N00000X Dermatology Physician 25MA09071200 NJ
207N00000X Dermatology Physician 266475 NY
207ND0900X Dermatopathology Physician Dermatopathology 25MA09071200 NJ
207ND0900X Dermatopathology Physician Dermatopathology MA09071200 RI
207ND0900X Dermatopathology Physician Dermatopathology MD465852 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1194950683 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 27, 2009
Last updatedSep 23, 2021
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 65 BROADWAY STE 1606
New York, NY 10006
(267) 737-8655
Mailing address 10 LIBERTY ST APT 21C
New York, NY 10005
Other identifiers 0315176 (NJ)
The last update on file is Sep 23, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1194950683 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 9 4 9 5 0 6 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 9 5 0 6 7

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1194950683?
NPI 1194950683 is the National Provider Identifier assigned to Jisun Cha, M.D. in New York, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatopathology cover?
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…
How do I contact Jisun Cha, M.D.?
The phone number on file with NPPES is (267) 737-8655, last updated Sep 23, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jisun Cha, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1194950683 a valid number?
Yes. 1194950683 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.