N J DERMATOPATHOLOGY (NPI# 1275606998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275606998 |
| Entity Type | Organization |
| Organization Name | N J DERMATOPATHOLOGY |
| Practice Address |
769 Northfield Ave Ste Ll30 West Orange NJ 07052 |
| Practice Telephone | 9736690141 |
| Practice Fax Number | 9736698220 |
| Mailing Telephone | 9736690141 |
| Mailing Fax Number | 9736698220 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-03-30 |
| Authorized Official Name | JERRY ROTHENBERG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9736690141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
25MA03949600. | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3300609 | 05 | |
| NJ | RR MEDICARE | 1220021085 | 01 |
| Street Address |
769 NORTHFIELD AVE STE LL30 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942481551 | Jerry Rothenberg | Dermatology | 769 Northfield Ave, Ll30, West Orange, NJ 07052-1198 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689189300 | Imar Derm Path Laboratory LLC | Dermatology | 540 Lacey Rd Ste 2a, Forked River, NJ 08731-1532 | 2017-12-04 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1124185004 | Dermatology Physicians of South Jersey, Pa | Dermatology | 112 White Horse Pike, Rt. 30, Haddon Heights, NJ 08035-1908 | 2007-01-02 |
| 1508837253 | Marcelo Gabriel Horenstein | Dermatology | 60 Pompton Ave, Verona, NJ 07044 | 2006-01-31 |
| 1417465741 | Kane Medical LLC | Dermatology | 235 Shore Rd Ste C, Somers Point, NJ 08244-2631 | 2018-01-22 |
| 1699960096 | Dermatology Associates of South Jersey, L.L.C. | Dermatology | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 | 2007-09-09 |
| 1124225693 | Naver Sarkissian | Dermatology | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2007-06-28 |
| 1396940334 | Kristyna Lee | Dermatology | 182 South St, Suite 1, Morristown, NJ 07960-5377 | 2007-06-19 |
| 1033231493 | Alan J Liftin, Md, Medical Services, PC | Dermatology | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2007-04-05 |
| 1629197819 | Jay D Geller Md PC | Dermatology | 310 State Route 24, Suite B1-a, Chester, NJ 07930-2625 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.