Center for Dermatology PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA06197500 Issued in NJ

Legal business name

CENTER FOR DERMATOLOGY PA

Practice address

128 Columbia Tpke
Suite 200
Florham Park, NJ 07932-2283

Phone

(973) 736-9535

Fax

(973) 736-2607

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Amanda Jean Harrington

Title

Coordinator

Phone

(973) 736-9535

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: aharrington@centerfordermatologynj.emadirect.md

Practitioners 4

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

• Brian Machler, MD

  • Dermatology Physician
  • Florham Park, NJ
  • NPI 1376676528
  Medicare reassignment Care Compare group NPD
• Marie Rose Fobben, PA-C

  • Physician Assistant
  • Florham Park, NJ
  • NPI 1356014518
  Medicare reassignment Care Compare group
• Lauren A Vitolo, MS,PA-C

  • Medical Physician Assistant
  • Florham Park, NJ
  • NPI 1396700100
  Medicare reassignment
• Roger H. Brodkin, MD

  • Dermatology Physician
  • West Orange, NJ
  • NPI 1982737144
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1073646212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COLUMBIA TPKE",
            "address_2": "SUITE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322283",
            "telephone_number": "973-736-9535",
            "fax_number": "973-736-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 COLUMBIA TPKE",
            "address_2": "SUITE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322283",
            "telephone_number": "973-736-9535",
            "fax_number": "973-736-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "973-736-9535"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA06197500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharrington@centerfordermatologynj.emadirect.md",
            "affiliation": "N",
            "address_1": "128 Columbia Tpke",
            "address_2": "Suite 200",
            "city": "Florham Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079322283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitchel S Carter, M.D.
• Sharon Cartwright, LPC, LCADC, CCS
• Jamie Lynn Carvalho, MA, LPC, LCADC
• Charles Castellano, MD
• Janis M Catalano, LCSW
• Center for Women'S Care PC
• Cerebral Palsy of North Jersey
• Cerebral Palsy of North Jersey, Inc.
• Cerebral Palsy of North Jersey, Inc.
• Diana Lorena Ceron, LPC

• Dermatology Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.