Individual provider Active NPI

Elyse Horn Harrop, MD

  • Dermatology Physician
  • Medford, NJ
National Provider Identifier
1164472023
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA0682880 Issued in NJ
Practice address
622 Stokes Rd
Suite a
Medford, NJ 08055-2913
Phone
(609) 953-0908
Fax
(609) 953-5978
NPI assigned
May 11, 2006
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA0682880 NJ Primary

Addresses

Primary practice location

622 Stokes Rd
Suite a
Medford, NJ 08055-2913

Mailing address

622 Stokes Rd
Suite a
Medford, NJ 08055-2913
Phone (609) 953-0908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000835 NJ Practitioner - Dermatology 5698967487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

622 Stokes Rd
Suite a
Medford, NJ 08055-2913

622 Stokes Rd a
Medford, NJ 08055-2913

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
86.57
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions778
Removal or shaving of skin growth113
Skin biopsy246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA0682880NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Dermatology Current Accepting new patients
David a. High Dermatology PastSince Sep 17, 2001 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1164472023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 STOKES RD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552913",
            "telephone_number": "609-953-0908",
            "fax_number": "609-953-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 STOKES RD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552913",
            "telephone_number": "609-953-0908",
            "fax_number": "609-953-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROP",
        "first_name": "ELYSE",
        "middle_name": "HORN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA0682880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.