Haddonfield Dermatology Associates

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

25MA08338300 Issued in NJ

Legal business name

HADDONFIELD DERMATOLOGY ASSOCIATES

Practice address

24 Kings Hwy W
Haddonfield, NJ 08033-2111

Phone

(856) 795-1341

Fax

(856) 795-5034

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Karen Rebecca Suchin, MDNPI 1326132150

Title

Physician/Owner

Phone

(856) 795-1341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 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

Practitioners 3

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

• Karen Rebecca Suchin, MD

  • Procedural Dermatology Physician
  • Haddonfield, NJ
  • NPI 1326132150
  Medicare reassignment NPD Authorized official
• Erika Gaines Levine, M.D

  • Specialist
  • Voorhees, NJ
  • NPI 1487742508
  Medicare reassignment NPD
• Loren T Burns, MD

  • Procedural Dermatology Physician
  • Haddonfield, NJ
  • NPI 1407952864
  NPD (past)

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1083983209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KINGS HWY W",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332111",
            "telephone_number": "856-795-1341",
            "fax_number": "856-795-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 KINGS HWY W",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332111",
            "telephone_number": "856-795-1341",
            "fax_number": "856-795-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDONFIELD DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SUCHIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "856-795-1341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA08338300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammi L Grovatt-Dawkins, M.ED.
• Patrick Grugan
• Guided Growth Therapy, LLC
• Haddon Physical Therapy, LLC
• Haddonfield Ambulance Association Inc
• Haddonfield Family Dentistry
• Haddonfield Family Practice, P.a.
• Haddonfield Psych Management PA
• Haddonfield Psychiatric Associates LLC
• Haddonfield Psychiatry, LLC

• MOHS-Micrographic Surgery Physician in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• MOHS-Micrographic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.