GARDEN STATE DERMATOLOGY LLC (NPI# 1811305444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811305444 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE DERMATOLOGY LLC |
| Practice Address |
201 New Jersey 17 Floor 11 Rutherford NJ 07070 |
| Mailing Address |
7 Maltese Dr Fair Lawn NJ 07410-5815 |
| Practice Telephone | 6173146567 |
| Mailing Telephone | 6173146567 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | DR. PREETHI V RAMASWAMY (MEMBER) |
| Authorized Official Telephone | 6173146567 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
25MA09032700 | NJ | Ambulatory Health Care Facilities |
| Street Address |
201 NEW JERSEY 17 FLOOR 11 |
| City | RUTHERFORD |
| State | NJ |
| Zip Code | 07070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750523379 | Preethi Venugopal Ramaswamy | Dermatology | 201 New Jersey 17, 11th Floor, Rutherford, NJ 07070 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1407317019 | Riverside Surgical Center of Meadowlands, LLC | Clinic/Center | 201 Nj-17, 12th Floor, Rutherford, NJ 07070 | 2019-03-27 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1437592946 | Brett Bielory | Ophthalmology | 201 17 North, Suite 1202, Rutherford, NJ 07070 | 2013-04-15 |
| 1427317437 | Jose Manuel Rodriguez | Counselor | 89 Ridge Rd. Suite 4, North Arlington, NJ 07070 | 2012-05-10 |
| 1649565987 | Rahul Gurbux Matnani | Pathology | 201 Route 17 Fl 2, Rutherford, NJ 07070 | 2011-06-15 |
| 1457545675 | Rutherford Allied Medical Group | Chiropractor | 323 Union Avenue, Rutherford, NJ 07070 | 2007-08-30 |
| 1861612012 | Meadowlands Dental Association | Dentist | 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 | 2007-04-30 |
| 1477672327 | Robert S Freda | Chiropractor | 287 Park Avenue, Rutherford, NJ 07070 | 2007-03-29 |
| 1235254988 | Michael Schwarz Md LLC | Specialist | 201 Rte 17 North, 11th Floor, Rutherford, NJ 07070 | 2007-03-20 |
| Find all providers in zip 07070 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891016762 | Rutherford Women and Adolescent Care, LLC | Clinic/Center | 17 Sylvan St, Suite 201, Rutherford, NJ 07070-2037 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378467 | Nickhil Gupta Do PC | Clinic/Center | 37 W Century Rd Ste 106, Paramus, NJ 07652-1466 | 2020-05-25 |
| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1578129490 | Beaute Medispa, LLC | Clinic/Center | 195 Route 9 Ste 101, Manalapan, NJ 07726-8294 | 2019-05-16 |
| 1437627023 | Point Pediatrics | Clinic/Center | 800 Route 88 Ste 3, Point Pleasant Boro, NJ 08742-4085 | 2018-11-13 |
| 1770067126 | Skin Cancer and Cosmetic Surgery Center of New Jersey, LLC | Clinic/Center | 10 Parsonage Rd Ste 312, Edison, NJ 08837-2429 | 2018-09-21 |
| 1780165100 | Renew Med Spa and Clinic LLC | Clinic/Center | 601 Hamburg Tpke Ste 101, Wayne, NJ 07470-2049 | 2018-08-23 |
| 1497243232 | Tristate Multispecialty Medical Services PC | Clinic/Center | 126 State St Fl 1, Hackensack, NJ 07601-5448 | 2018-04-26 |
| 1285136226 | Robinson-gallaro Gi Health & Solutions | Clinic/Center | 717 N Beers St Ste 2c, Holmdel, NJ 07733-1525 | 2018-03-06 |
| 1821505462 | Integrative Wellness & Cosmetics, Inc | Clinic/Center | 601 9th St, Hoboken, NJ 07030-6428 | 2018-01-04 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD |
| Zip Code | 07070 |
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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.