PRINCETON DERMATOLOGY ASSOCIATES KENDALL PARKPC (NPI# 1770540890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770540890 |
| Entity Type | Organization |
| Organization Name | PRINCETON DERMATOLOGY ASSOCIATES KENDALL PARKPC |
| Practice Address |
1543 State Highway 27 Suite31 Somerset NJ 08873-3904 |
| Mailing Address |
301 N Harrison St Suite 1e Princeton NJ 08540-3512 |
| Practice Telephone | 7322978866 |
| Practice Fax Number | 7328210626 |
| Mailing Telephone | 6096834999 |
| Mailing Fax Number | 6096830298 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-10-12 |
| Authorized Official Name | DR. RODERICK T KAUFMANN JR. (PRESIDENT) |
| Authorized Official Telephone | 6096834999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | =========000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH | 0099064000 | 01 |
| NJ | RAILROAD MEDICARE | CJ5645 | 01 |
| Street Address |
1543 STATE HIGHWAY 27 SUITE31 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124317029 | Joni Vitale | Dietitian, Registered | 1543 State Highway 27, Suite 14, Somerset, NJ 08873 | 2011-03-31 |
| 1588612378 | Richard S Berger | Dermatology | 1543 State Highway 27, Suite 31, Somerset, NJ 08873-3904 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| 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 |
|---|---|---|---|---|
| 1467091983 | Aura Dermatology At Somerset LLC | Dermatology | 75 Veronica Ave Ste 205, Somerset, NJ 08873-5002 | 2020-01-01 |
| 1598973083 | Carmen Davis | Dermatology | 1 World 's Fair Dr., Suite 2400, Somerset, NJ 08873 | 2007-05-18 |
| 1881772820 | Victor Silverstein | Dermatology | 1303 Route Twenty Seven, Somerset, NJ 08873 | 2006-11-01 |
| 1598723884 | Amy S Pappert | Dermatology | 1 Worlds Fair Dr, Suite 2400, Somerset, NJ 08873-1344 | 2006-05-03 |
| 1376858548 | Academic Dermatology Inc | Dermatology | 75 Veronica Ave, Suite 205, Somerset, NJ 08873-5002 | 2010-08-12 |
| 1669633814 | King-maceyko Dermatology Assoc Ltd | Dermatology | 223 S Pleasant Ave, Suite 101, Somerset, PA 15501 | 2008-06-20 |
| 1912128307 | Brian L Baker | Dermatology | 85 Tower Circle, Somerset, KY 42503 | 2007-05-01 |
| 1063564011 | Christopher John Frost | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1922150994 | Teresa Jean Bentley | Dermatology | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2007-01-18 |
| 1316029796 | Penelope J Cohen | Dermatology | 1527 Route 27, Suite 2800, Somerset, NJ 08857 | 2006-10-19 |
| Find all providers in SOMERSET | ||||
Please comment or provide details below to improve the information on PRINCETON DERMATOLOGY ASSOCIATES KENDALL PARKPC.
| 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.