Healthcare Provider Details

I. General information

NPI: 1902043912
Provider Name (Legal Business Name): KATHERINE M CHEN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 ENGLE ST
ENGLEWOOD NJ
07631-2507
US

IV. Provider business mailing address

142 ENGLE ST
ENGLEWOOD NJ
07631-2547
US

V. Phone/Fax

Practice location:
  • Phone: 201-568-0033
  • Fax: 201-568-9891
Mailing address:
  • Phone: 201-568-0033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00308200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00308200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: