Alta Dermatology & Skin Care Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA068924 Issued in NJ

Legal business name

ALTA DERMATOLOGY & SKIN CARE CENTER, LLC

Practice address

701 Cooper Rd
Suite #13
Voorhees, NJ 08043-3800

Phone

(856) 344-2849

Fax

(856) 344-2938

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

David Hal Finkelstein, M.D.NPI 1518034628

Title

Owner

Phone

(856) 344-2849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• David Hal Finkelstein, MD

  • Dermatology Physician
  • Voorhees, NJ
  • NPI 1518034628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1073729018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COOPER RD",
            "address_2": "SUITE #13",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433800",
            "telephone_number": "856-344-2849",
            "fax_number": "856-344-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COOPER RD",
            "address_2": "SUITE #13",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433800",
            "telephone_number": "856-344-2849",
            "fax_number": "856-344-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA DERMATOLOGY & SKIN CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "FINKELSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-344-2849",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA068924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeseena Faye Alli, MD
• Andrew M Alloy, DO
• Alluvium Chiropractic Center, P.C.
• Ally Housecall Physicians, P.C.
• Rachel L Alston, BCBA
• Alternative Healing Center
• Julia Amariti, RDN
• Nilsa Lynn Ambert, LSW
• America'S Best Contacts & Eyeglasses
• American Medical Services, P.C.

• Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.