NPIMap

Organization Active NPI

SDG Dermatology PC

Doing business as Schweiger Dermatology Group

  • Dermatology Physician
  • East Windsor, NJ
National Provider Identifier
1013623065
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SDG DERMATOLOGY PC
Doing business as
Schweiger Dermatology Group
Practice address
59 One Mile Rd Ext
East Windsor, NJ 08520-2505
Phone
(609) 443-4500
NPI assigned
Jan 24, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janelle Gorfinkle
Title
Credentialing Manager
Phone
(925) 819-6228

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Dermatopathology Physician 207ND0900X NU

Addresses

Primary practice location

59 One Mile Rd Ext
East Windsor, NJ 08520-2505

Mailing address

33 E 33Rd St FL 12
New York, NY 10016-5362
Phone (212) 283-3000

Other names 1

  • SCHWEIGER DERMATOLOGY GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911000107 NJ Part B Supplier - Clinic/Group Practice 1759745789 Receives reassigned benefits from 9 practitioners
Practice locations: East Windsor, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2109646SDG Dermatology, PC59 One Mile Road, Ext, East Windsor, NJ 08520Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

59 One Mile Rd Ext
East Windsor, NJ 08520
Phone (609) 443-1150

59 One Mile Rd Ext
Ste B
East Windsor, NJ 08520
Phone (609) 443-4500

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1013623065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E 33RD ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165362",
            "telephone_number": "212-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ONE MILE RD EXT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202505",
            "telephone_number": "609-443-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDG DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "GORFINKLE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "925-819-6228"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHWEIGER DERMATOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCHWEIGER DERMATOLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.