Provider Demographics
NPI:1447529045
Name:CHIKANI, JIGNASA RIPAL (MD)
Entity type:Individual
Prefix:
First Name:JIGNASA
Middle Name:RIPAL
Last Name:CHIKANI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 COLLEGE DR
Mailing Address - Street 2:UNIT # 2C
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6933
Mailing Address - Country:US
Mailing Address - Phone:856-692-6000
Mailing Address - Fax:856-692-0609
Practice Address - Street 1:2950 COLLEGE DR
Practice Address - Street 2:UNIT # 2C
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6933
Practice Address - Country:US
Practice Address - Phone:856-692-6000
Practice Address - Fax:856-692-0609
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09426400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0425915Medicaid