Organization Active NPI

Bonnie B Kazam, MD, PA

  • Dermatology Physician
  • Morristown, NJ
National Provider Identifier
1114188935
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BONNIE B KAZAM, MD, PA
Practice address
2 Washington PL
Morristown, NJ 07960-4220
Phone
(973) 267-8585
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. Bonnie B Kazam, MD
Title
Physician/President
Phone
(973) 267-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2 Washington PL
Morristown, NJ 07960-4220

Mailing address

2 Washington PL
Morristown, NJ 07960-4220
Phone (973) 267-8585

National Provider Directory

National Provider Directory

Locations

2 Washington Pl
Morristown, NJ 07960
Phone (973) 267-8585

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1114188935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604220",
            "telephone_number": "973-267-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604220",
            "telephone_number": "973-267-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE B KAZAM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "KAZAM",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "973-267-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.