Provider Demographics
NPI:1376427708
Name:KOHN, CHAYA SARAH (PA)
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:SARAH
Last Name:KOHN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CHAYA
Other - Middle Name:SARAH
Other - Last Name:LOWY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:32 GOLDERS GREEN RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7551
Mailing Address - Country:US
Mailing Address - Phone:908-770-2133
Mailing Address - Fax:
Practice Address - Street 1:232 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1859
Practice Address - Country:US
Practice Address - Phone:732-222-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00932200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine