NPIMap

Organization Active NPI

Atlantic Skin & Cosmetic Surgery Group, P.C.

  • Dermatology Physician
  • Wilmington, DE
National Provider Identifier
1073556874
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ATLANTIC SKIN & COSMETIC SURGERY GROUP, P.C.
Practice address
3411 Silverside Rd
Suite 107; Webster Building
Wilmington, DE 19810-4812
Phone
(302) 478-8532
Fax
(302) 478-8536
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Michael L Saruk, M.D.NPI 1235197997
Title
Chairman, Ceo and Chief Medical Off
Phone
(302) 478-4350

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

3411 Silverside Rd
Suite 107; Webster Building
Wilmington, DE 19810-4812

Mailing address

3411 Silverside Rd
Suite 107; Webster Building
Wilmington, DE 19810-4812
Phone (302) 478-4350

National Provider Directory

National Provider Directory

Locations

3411 Silverside Rd
Ste 107
Wilmington, DE 19810
Phone (302) 478-2969

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1073556874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "address_2": "SUITE 107; WEBSTER BUILDING",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-478-4350",
            "fax_number": "302-478-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "address_2": "SUITE 107; WEBSTER BUILDING",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-478-8532",
            "fax_number": "302-478-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SKIN & COSMETIC SURGERY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SARUK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN, CEO AND CHIEF MEDICAL OFF",
        "authorized_official_telephone_number": "302-478-4350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.