COYLE S CONNOLLY DO PA (NPI# 1053367516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053367516 |
| Entity Type | Organization |
| Organization Name | COYLE S CONNOLLY DO PA |
| Other Organization Name | CONNOLLY DERMATOLOGY |
| Practice Address |
2106 New Rd Suite D4 Linwood NJ 08221-1046 |
| Mailing Address |
2099 New Albany Rd Cinnaminson NJ 08077-3534 |
| Practice Telephone | 6099268899 |
| Practice Fax Number | 6099266474 |
| Mailing Telephone | 6099268899 |
| Mailing Fax Number | 6096538713 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-08-14 |
| Authorized Official Name | COYLE S CONNOLLY (PRESIDENT) |
| Authorized Official Telephone | 6099268899 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MB06289800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE RAILROAD | DE5501 | 01 |
| Other Name | Type Code |
|---|---|
| Connolly Dermatology | Other Name - Individual/Organization |
| Street Address |
2106 NEW RD SUITE D4 |
| City | LINWOOD |
| State | NJ |
| Zip Code | 08221-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534497 | Vytas B Siliunas | Otolaryngology | 2106 New Rd, C9, Linwood, NJ 08221-1046 | 2005-08-10 |
| 1497312425 | Gabriella Jean Capriotti | Physician Assistant | 2106 New Rd, Linwood, NJ 08221-1046 | 2019-05-24 |
| 1528491719 | Shane P Courtney | Physician Assistant | 2106 New Rd, Suite D4, Linwood, NJ 08221-1046 | 2013-08-12 |
| 1124376827 | Robert Chorney Psyd At New Roads LLC | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2012-08-28 |
| 1235485178 | Sean Alan Adair | Physician Assistant | 2106 New Rd, Suite D-4, Linwood, NJ 08221-1046 | 2012-07-30 |
| 1811298649 | Kenneth A. Leight Phd New Roads LLC | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2010-11-10 |
| 1649418286 | Laura Janis Huberman, LLC | Social Worker | 2106 New Rd, Suite E-1, Linwood, NJ 08221-1046 | 2009-02-03 |
| 1083852792 | Lauren Cincotta | Physician Assistant | 2106 New Rd, Ste D4, Linwood, NJ 08221-1046 | 2009-02-03 |
| 1467607465 | Cloey Ann Talotta | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2008-11-18 |
| 1508013715 | Roberta B Aungst | Audiologist | 2106 New Rd, Linwood, NJ 08221-1046 | 2008-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831049 | Atlantic County Comprehensive Healthcare PC | Specialist | 1201 New Road, Suite 120, Linwood, NJ 08221 | 2019-09-27 |
| 1437625381 | Seawolf Yoga LLC | Counselor | 222 New Rd. Suite 405 Central Park East, Linwood, NJ 08221 | 2018-10-18 |
| 1720451263 | Vitality Nutrition and Wellness Center LLC | Dietitian, Registered | 2000 Shore Road, Suite 104, Linwood, NJ 08221 | 2015-11-05 |
| 1679968028 | Maria Roca Camille Jarillo | Physical Medicine & Rehabilitation | 201 New Road, Linwood, NJ 08221 | 2015-04-02 |
| 1154754836 | Heidi Schnorr-leavy, LLC | Counselor | 1201 New Rd. S-130, Linwood, NJ 08221 | 2013-08-16 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1710211388 | Peter E. Wiesel | Dentist | 222 New Road, Suite #401, Linwood, NJ 08221 | 2009-09-29 |
| 1093945693 | Judy Lozada Cabinian | Physical Therapist | New Road and Central Avenue, Linwood, NJ 08221 | 2009-07-17 |
| 1992969687 | Ila A. Keiner LLC | Social Worker | Route 9 and Central Ave, Central Square Unit 61a, Linwood, NJ 08221 | 2008-07-11 |
| 1578726782 | Karla Moody | Licensed Practical Nurse | 201 Central Avenue, Linwood Care Center, Linwood, NJ 08221 | 2008-07-08 |
| Find all providers in zip 08221 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591147 | Robert Vincent Desilverio Jr. | Dermatology | 1401 New Rd, Linwood, NJ 08221 | 2005-10-11 |
| 1386601433 | Coyle S Connolly | Dermatology | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2006-05-01 |
| 1548231228 | Joseph Johnson Hong | Dermatology | 1401 New Rd, Linwood, NJ 08221-1121 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649716 | Danowski Dermatology | Dermatology | 525 Route 73 N Ste 305a, Marlton, NJ 08053-3422 | 2020-11-03 |
| 1508477399 | Consonant Healing Medical Associates of Nj LLC | Dermatology | 100 Challenger Rd # 205, Ridgefield Park, NJ 07660-2108 | 2020-08-13 |
| 1659900884 | Dermatology and Skin Care Center | Dermatology | 2301 E Evesham Rd Ste 102-103, Voorhees, NJ 08043-4501 | 2020-04-08 |
| 1467091983 | Aura Dermatology At Somerset LLC | Dermatology | 75 Veronica Ave Ste 205, Somerset, NJ 08873-5002 | 2020-01-01 |
| 1578025920 | Aura Dermatology At Robbinsville LLC | Dermatology | 17 Main St Ste 304, Robbinsville, NJ 08691-1436 | 2019-04-04 |
| 1144786740 | Swetha Kandula Md LLC | Dermatology | 3695 Hill Rd Ste 2b, Parsippany, NJ 07054-1047 | 2019-02-19 |
| 1477031318 | Wellness Dermatology LLC | Dermatology | 638 Lawrenceville Rd, Lawrenceville, NJ 08648-4208 | 2018-08-02 |
| 1871000323 | Julianna Nicole Jarvis | Dermatology | 100 Brick Rd Ste 306, Marlton, NJ 08053-2146 | 2018-01-05 |
| 1487169702 | Nj Certified Dermatology PC | Dermatology | 670 Broadway, Bayonne, NJ 07002-4726 | 2017-12-08 |
| 1407374796 | Geria Dermatology, LLC | Dermatology | 75 Orient Way Ste 204, Rutherford, NJ 07070-2086 | 2017-09-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.