MRS. AMY ILYSE FREEMAN


Address: 12 E Willow St, Millburn, NJ 07041-1417
Phone: 9733768500

MRS. AMY ILYSE FREEMAN (NPI# 1467448514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467448514
Entity Type Individual
Full Name MRS. AMY ILYSE FREEMAN
Other Name DR. AMY ILYSE KRUPNICK
Credential MD
Practice Address 12 E Willow St
Millburn
NJ 07041-1417
Mailing Address 12 East Willow Street
Millburn
NJ 07041
Practice Telephone 9733768500
Practice Fax Number 9733761820
Mailing Telephone 9733768500
Mailing Fax Number 9733761820
Enumeration Date 2005-09-23
Last Update Date 2013-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist ME 92169 FL Other Service Providers
Y 207N00000X Dermatology 25MA08081300 NJ Allopathic & Osteopathic Physicians

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1811449747 Amy Freeman Counselor 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 2016-10-26
1588112379 Amy Elizabeth Freeman Physical Therapy Assistant 7517 W Cold Spring Rd, Greenfield, WI 53220-2814 2016-09-21

Office Location

Street Address 12 E WILLOW ST
City MILLBURN
State NJ
Zip Code 07041-1417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336345461 Jeanine Daly Dermatology 12 E Willow St, Millburn, NJ 07041-1417 2007-06-25
1487770905 Associates In Dermatology and Cosmetic Surgery-the Millburn Laser Cent Dermatology 12 E Willow St, Millburn, NJ 07041-1417 2007-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932696879 Michael J. Kahn Psychologist 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 2018-04-17
1780063586 Beth Israel Medicial Center General Acute Care Hospital 927 Ridgewood Road, Millburn, NJ 07041 2015-05-26
1457762577 Amy Ladetsky Occupational Therapist 25 Greenwood Drive, Millburn, NJ 07041 2014-05-12
1033384193 Doris Marie Breckenridge Psychiatry & Neurology 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 2008-04-29
1477722627 M. Mai-tram D. Ho Chiropractor 58 Mountain Ave, Millburn, NJ 07041 2008-02-21
1689880320 Wendy Caroline Wisz Dentist 250 Millburn Ave., Millburn, NJ 07041 2007-05-16
1578775680 Margaret M Mcintyre Dentist 421 Essex St, Millburn, NJ 07041 2007-05-03
1225189210 Regina Ann Schaefer Social Worker 55 Bleeker Street, Millburn, NJ 07041 2007-01-16
1124188800 Patricia Ann Delgaldo Social Worker 368 Essex Street, 2nd Floor, Millburn, NJ 07041 2006-12-11
1366541690 Mahesh R Desai Internal Medicine 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 2006-09-22
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053353680 Gail Holly Mautner Dermatology 12 East Willow Street, Millburn, NJ 07041 2006-06-11
1457665838 Soma Skin & Laser, LLC Dermatology 90 Millburn Ave, Suite 206, Millburn, NJ 07041-1945 2010-07-28
1336345461 Jeanine Daly Dermatology 12 E Willow St, Millburn, NJ 07041-1417 2007-06-25
1124249644 Michael Ehrenreich Dermatology 90 Millburn Ave, Suite 206, Millburn, NJ 07041-1945 2007-05-01
1487770905 Associates In Dermatology and Cosmetic Surgery-the Millburn Laser Cent Dermatology 12 E Willow St, Millburn, NJ 07041-1417 2007-03-22
1376696997 George Kihiczak Dermatology 116 Millburn Ave, Suite 111, Millburn, NJ 07041-1943 2007-01-18
1275578262 Eric Scott Siegel Dermatology 12 East Willow Street, Millburn, NJ 07041-1417 2006-06-17
1871535435 Allyson Stacy Brockman-bitterman Dermatology 12 East Willow Street, Millburn, NJ 07041 2006-06-11

Providers in the same taxonomy and state

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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Competitor

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City MILLBURN
Zip Code 07041

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Dataset Information

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.

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