Active NPI
Academy Dermatology and Cosmetic Center, PA
- Dermatology Physician
- Moorestown, NJ
National Provider Identifier
1104991173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ACADEMY DERMATOLOGY AND COSMETIC CENTER, PA
- Practice address
- 110 Marter Ave
Suite 306
Moorestown, NJ 08057-3124 - Phone
- (856) 642-6450
- Fax
- (856) 642-6451
- NPI assigned
- Nov 22, 2006
- Last updated
- Apr 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Magaly Patricia Del Monaco, D.O.
- Title
- Medical Director
- Phone
- (856) 642-6450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
110 Marter Ave
Suite 306
Moorestown, NJ 08057-3124
Mailing address
110 Marter Ave
Suite 306
Moorestown, NJ 08057-3124
Phone (856) 642-6450
National Provider Directory
National Provider DirectoryLocations
110 Marter Ave
Ste 306
Moorestown, NJ 08057
Phone (856) 642-6450
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Dublin, OH
- NPI 1891805339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366156800000",
"number": "1104991173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MARTER AVE",
"address_2": "SUITE 306",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573124",
"telephone_number": "856-642-6450",
"fax_number": "856-642-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MARTER AVE",
"address_2": "SUITE 306",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573124",
"telephone_number": "856-642-6450",
"fax_number": "856-642-6451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADEMY DERMATOLOGY AND COSMETIC CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2013-04-17",
"status": "A",
"authorized_official_last_name": "DEL MONACO",
"authorized_official_first_name": "MAGALY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "856-642-6450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
- Anjail Abdul-Badee Johnson
- Tajuddin Abdullah
- Elizabeth Jeanne Aberant
- Able Healthcare Nurse Practitioner in Psychiatry PLLC
- Abundant Health for Relationships
- Acme Markets Inc
- Acts Retirement-Life Communities Inc. (WillowBrooke Court at The Evergreens)
- Acts Retirement-Life Communities, Inc. (Primary Care Services at The Evergreens)
- Acts Signature Community Services, Inc. (Primary Care Services at The Evergreens)
- Stacy Ann Adamsky, MSN, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.