THE PRINCETON CENTER FOR DERMATOLOGY, LLC (NPI# 1275575094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275575094 |
| Entity Type | Organization |
| Organization Name | THE PRINCETON CENTER FOR DERMATOLOGY, LLC |
| Practice Address |
800 Bunn Dr Suite 201 Princeton NJ 08540-1968 |
| Practice Telephone | 6099241033 |
| Practice Fax Number | 6099247055 |
| Mailing Telephone | 6099241033 |
| Mailing Fax Number | 6099247055 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-07-19 |
| Authorized Official Name | DR. ROBYN B. NOTTERMAN (OWNER) |
| Authorized Official Telephone | 6099247690 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
800 BUNN DR SUITE 201 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114453875 | Susan Kassler-taub | Social Worker | 800 Bunn Dr, Suite 205, Princeton, NJ 08540-1968 | 2017-05-02 |
| 1023567542 | Leif Edward Baumbach I | Clinic/Center | 800 Bunn Dr, # 102, Princeton, NJ 08540-1968 | 2016-09-26 |
| 1215396510 | Alison Jean Liedtka | Physical Therapist | 800 Bunn Dr, Princeton, NJ 08540-1968 | 2016-02-15 |
| 1710354378 | Jason Goncalves | Physical Medicine & Rehabilitation | 800 Bunn Dr, #102, Princeton, NJ 08540-1968 | 2015-08-28 |
| 1609288604 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 800 Bunn Dr, Suite 304, Princeton, NJ 08540-1968 | 2014-05-24 |
| 1053687756 | Frances Ertel | Physical Therapist | 800 Bunn Dr, Suite 102, Princeton, NJ 08540-1968 | 2012-03-27 |
| 1053692145 | Rachel Cuomo | Dietitian, Registered | 800 Bunn Dr, 302, Princeton, NJ 08540-1968 | 2011-09-01 |
| 1093011835 | Princeton Premier Medicine LLC | Internal Medicine | 800 Bunn Dr, Suite 302, Princeton, NJ 08540-1968 | 2011-01-26 |
| 1780903880 | Neurac Institute for Physical Therapy, P.a. | Clinic/Center | 800 Bunn Dr, Suite 102, Princeton, NJ 08540-1968 | 2010-05-28 |
| 1932344967 | Maria Eleni Sophocles | Obstetrics & Gynecology | 800 Bunn Dr, Suite 202, Princeton, NJ 08540-1968 | 2008-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| 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 |
|---|---|---|---|---|
| 1255677555 | Derm One Pllc | Dermatology | 34 New Hope Rd, Suite 1, Princeton, WV 24740-2354 | 2012-12-14 |
| 1942301528 | Bruce Jay Berger | Dermatology | 278 Franklin Ave, Princeton, NJ 08540 | 2006-09-26 |
| 1841371507 | Steven Kazenoff | Dermatology | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2006-10-18 |
| 1891876496 | Darlene J Kwee | Dermatology | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2006-10-18 |
| 1063513679 | Princeton Medical Group,p.a. | Dermatology | 419 N Harrison St, Suite 203, Princeton, NJ 08540-3521 | 2006-09-26 |
| 1235195157 | Martha E Funkhouser | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-21 |
| 1548225477 | Rachel M Grossman | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-20 |
| 1336104561 | Princeton Dermatology Associatespc | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-19 |
| 1740245539 | Roderick T Kaufmann Jr. | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-18 |
| 1588644017 | Sola Choi | Dermatology | 419 N Harrison St, Princeton, NJ 08540-3521 | 2006-01-19 |
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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.