DR. MARC DAVID GLASHOFER (NPI# 1851340418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851340418 |
| Entity Type | Individual |
| Full Name | DR. MARC DAVID GLASHOFER |
| Credential | MD |
| Practice Address |
347 Mount Pleasant Ave Suite 103 West Orange NJ 07052-2744 |
| Practice Telephone | 9735712121 |
| Practice Fax Number | 9734980569 |
| Mailing Telephone | 9735712121 |
| Mailing Fax Number | 9734980569 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 239603 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
239603 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
239603 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
347 MOUNT PLEASANT AVE SUITE 103 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749321 | Lewis Peter Stolman | Dermatology | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2005-06-08 |
| 1548619448 | Brianna Guttuso | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2016-06-10 |
| 1194180349 | Michelle Itidiare | Nurse Practitioner | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 | 2015-12-15 |
| 1962885301 | Miriam Fox | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2015-07-02 |
| 1962883355 | Tutela Plastic Surgery Pa | Plastic Surgery | 347 Mount Pleasant Ave, Suite 101, West Orange, NJ 07052-2744 | 2015-06-11 |
| 1083024426 | Michele Colon | Nurse Practitioner | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2014-05-07 |
| 1962812842 | Tutela Plastic Surgery Pa | Surgery | 347 Mount Pleasant Ave, Suite #101, West Orange, NJ 07052-2744 | 2014-05-01 |
| 1124456561 | Garland Lee | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2013-10-22 |
| 1104250307 | Sujelis Perez | Physician Assistant | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 | 2013-08-25 |
| 1790037042 | Melissa Ann Smirnow | Physician Assistant | 347 Mount Pleasant Ave, Unit 103, West Orange, NJ 07052 | 2012-10-11 |
| Find all providers in the same location | ||||
| 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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427414556 | Adrian L. Connolly Md LLC | Dermatology | 101 Old Short Hills Rd, Suite 503, West Orange, NJ 07052-1000 | 2016-01-05 |
| 1962428474 | The Dermatology Group | Dermatology | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205991 | Skin Cancer & Mohs Surgery LLC | Dermatology | 82 E Allendale Rd Ste 8a, Saddle River, NJ 07458-3057 | 2019-10-07 |
| 1528466919 | Coastal Dermatology LLC | Dermatology | 198 Jack Martin Blvd., Brick, NJ 08724 | 2014-12-17 |
| 1578724571 | Kapila V Paghdal | Dermatology | 400 Route 17, Suite 2, Ridgewood, NJ 07450-2010 | 2008-06-23 |
| 1376724575 | American Skin and Cancer Center PC | Dermatology | 25 1st Ave Ste 113, Atlantic Highlands, NJ 07716-1285 | 2007-11-16 |
| 1104950013 | Dermatology Associates of Central New Jersey, Pa | Dermatology | 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 | 2007-03-15 |
| 1053478180 | J.barton Sterling | Dermatology | 215 Morris Ave, Spring Lake, NJ 07762-1360 | 2007-01-01 |
| 1083636898 | Christopher Bryant Kruse | Dermatology | 225 Highway 35 Ste 208, Red Bank, NJ 07701-5919 | 2006-07-24 |
| 1518900810 | Dermatology and Laser Center of Northern New Jersey LLC | Dermatology | 290 S Livingston Ave, Suite 1, Livingston, NJ 07039-3931 | 2006-06-14 |
| 1528001583 | David J Goldberg | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2006-06-14 |
| 1740237627 | Robert Basil Sollitto | Dermatology | 2 Van Buren Rd, Voorhees, NJ 08043-2370 | 2006-05-27 |
| 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.