Active NPI
Daniel G Bowden
- Dermatology Physician
- Riverdale, NJ
National Provider Identifier
1114563236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 29VI00727700
- Practice address
- 82 Newark Pompton Tpke
Riverdale, NJ 07457-1427 - Phone
- (973) 831-2383
- NPI assigned
- Nov 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 29VI00727700 | NJ | Primary |
Addresses
Primary practice location
82 Newark Pompton Tpke
Riverdale, NJ 07457-1427
Mailing address
82 Newark Pompton Tpke
Riverdale, NJ 07457-1427
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29VI00727700 | Other | NJ | VETERINARIAN |
| 012881 | Other | NY | VETERINARIAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbowden@adasvet.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29VI00727700 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animal Dermatology & Allergy Specialists, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Veterinarian
- Riverdale, NJ
- NPI 1396120697
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574553600000",
"number": "1114563236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571427",
"telephone_number": "973-831-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "DANIEL",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-24",
"last_updated": "2019-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NJ",
"license": "29VI00727700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERINARIAN",
"identifier": "29VI00727700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VETERINARIAN",
"identifier": "012881",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbowden@adasvet.com",
"affiliation": "N",
"endpointDescription": "This is an email",
"address_1": "82 Newark Pompton Tpke",
"city": "Riverdale",
"state": "NJ",
"country_code": "US",
"postal_code": "074571427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.