ADVANCED DERMATOLOGY OF NEW JERSEY PC (NPI# 1225362783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225362783 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY OF NEW JERSEY PC |
| Practice Address |
1200 E Ridgewood Ave Ridgewood NJ 07450-3957 |
| Mailing Address |
6 Lowell Ave New Hyde Park NY 11040-2810 |
| Practice Telephone | 2014931717 |
| Mailing Telephone | 5163264160 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | DR. JOSHUA L FOX (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5163264160 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
25MA04771900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1200 E RIDGEWOOD AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053537 | Joel E. Kopelman | Plastic Surgery | 1200 E Ridgewood Ave, Ste 1, Ridgewood, NJ 07450-3957 | 2005-06-15 |
| 1558915140 | Joy Charnesky | Neurological Surgery | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2019-07-31 |
| 1811411267 | Tamar D Mermelstein | Physician Assistant | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2017-07-27 |
| 1982142832 | Nicole Mohr | Physical Therapist | 1200 E Ridgewood Ave, Suite 208, Ridgewood, NJ 07450-3957 | 2017-02-10 |
| 1356897029 | Alexandra Kratch | Physical Therapist | 1200 E Ridgewood Ave, East Wing, Suite 208, Ridgewood, NJ 07450-3957 | 2016-08-31 |
| 1275919847 | Sylvia Ardeljan-savic | Physician Assistant | 1200 E Ridgewood Ave, Suite 200, Ridgewood, NJ 07450-3957 | 2015-08-06 |
| 1437544426 | Synapse Consulting | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2015-04-06 |
| 1104210301 | Marianne Marie Longo | Nurse Practitioner | 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 | 2015-03-25 |
| 1679966907 | Advanced Surgical Center of Bergen County, P.C. | Clinic/Center | 1200 E Ridgewood Ave, Ste 211, Ridgewood, NJ 07450-3957 | 2015-03-11 |
| 1972923621 | Lenka Mysliwiec | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2014-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529637 | K Dermatology & Aesthetic Center LLC | Dermatology | 340 State Route 34, Colts Neck, NJ 07722-2433 | 2020-05-15 |
| 1457798134 | Charles Frederic Lortie | Dermatology | 182 South Street Suite 1, Affiliated Dermatologists & Dematologic Surgeons, Morristown, NJ 07960 | 2013-06-04 |
| 1861838484 | Dermatology Group of Central New Jersey Pa | Dermatology | 3 Monroe Street, Bridgewater, NJ 08807-3001 | 2013-05-22 |
| 1972861102 | Ashley Decker | Dermatology | 10000 Sagemore Dr Ste 10103, Marlton, NJ 08053-3944 | 2012-04-25 |
| 1114151321 | Dawn Marie Gangi | Dermatology | 6 E Main Street, Mendham, NJ 07945 | 2009-05-04 |
| 1134397979 | John A Erianne M.d P.a. | Dermatology | 3285 Jfk Blvd, Jersey City, NJ 07307-4228 | 2008-02-14 |
| 1912069394 | Albert Ades | Dermatology | 129 Madison Ave, Cresskill, NJ 07626-2014 | 2006-12-14 |
| 1124100565 | Naomi Lawrence | Dermatology | 10000 Sagemore Dr, Suite 10103, Marlton, NJ 08053-3944 | 2006-10-19 |
| 1528155900 | Frank Kern | Dermatology | 2201 Bayshore Ave, Brigantine, NJ 08203-1927 | 2006-10-06 |
| 1326132150 | Karen Rebecca Suchin | Dermatology | 24 Kings Hwy W, Haddonfield, NJ 08033-2111 | 2006-10-03 |
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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.