NPIMap

Organization Active NPI

Dermatology Institute and Laser Center, LLC

  • Dermatology Physician
  • Clifton, NJ
National Provider Identifier
1023344009
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB08665600 Issued in NJ
Legal business name
DERMATOLOGY INSTITUTE AND LASER CENTER, LLC
Practice address
1100 Clifton Ave
Floor 2 Suite F
Clifton, NJ 07013-3631
Phone
(973) 472-1000
Fax
(973) 472-1300
NPI assigned
Oct 26, 2009
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. Adriana Ros, D.O.NPI 1942468392
Title
Dermatologist
Phone
(973) 472-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 25MB08665600 NJ Primary

Addresses

Primary practice location

1100 Clifton Ave
Floor 2 Suite F
Clifton, NJ 07013-3631

Mailing address

1100 Clifton Ave
Floor 2 Suite F
Clifton, NJ 07013-3631
Phone (201) 925-9565

National Provider Directory

National Provider Directory

Locations

1100 Clifton Ave
Ste F
Clifton, NJ 07013
Phone (201) 473-5700

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1023344009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE",
            "address_2": "FLOOR 2 SUITE F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133631",
            "telephone_number": "201-925-9565",
            "fax_number": "973-472-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE",
            "address_2": "FLOOR 2 SUITE F",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133631",
            "telephone_number": "973-472-1000",
            "fax_number": "973-472-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY INSTITUTE AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ROS",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "973-472-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB08665600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.