The Dermatology Center of NJ,PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07870700 Issued in NJ

Legal business name

THE DERMATOLOGY CENTER OF NJ,PC

Practice address

745 US Highway 202/206
Suite 102
Bridgewater, NJ 08807-1758

Phone

(908) 393-9755

Fax

(908) 393-9757

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Asha Agarwal

Title

Office Manager

Phone

(908) 393-9755

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

The Dermatology Center of New Jersey PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Dermatology Center of New Jersey, PC

  • Dermatology Physician
  • Bridgewater, NJ
  • NPI 1598991960
  NPD tax ID

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1033518758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 US HIGHWAY 202/206",
            "address_2": "SUITE 102",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "908-393-9755",
            "fax_number": "908-393-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 US HIGHWAY 202/206",
            "address_2": "SUITE 102",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "908-393-9755",
            "fax_number": "908-393-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY CENTER OF NJ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-393-9755"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07870700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598991960",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Arc of Somerset County
• The Arc of Somerset County, Inc.
• The Bedrock Clinic & Research Center, Inc
• The Center for Great Expectations, Inc.
• The Dermatology Center of New Jersey, PC
• The Eye Specialists, PA
• The Jewish Community Center of Somerset, Hunterdon & Warren Counties
• The Life Skills Resource Center
• Robert Patrick Thiele, DPM
• Imrinject Kaur Thind, BA

• Specialist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.