Warren S Kurnick M D Dermatology Group P a

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA057620 Issued in NJ

Legal business name

WARREN S KURNICK M D DERMATOLOGY GROUP P A

Practice address

220 Sunset Rd Ste 2C
Willingboro, NJ 08046-1126

Phone

(609) 871-9500

NPI assigned

Dec 5, 2006

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren S. Kurnick, M.D.NPI 1841290053

Title

Physician

Phone

(609) 871-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Warren S Kurnick, MD

  • Dermatology Physician
  • Willingboro, NJ
  • NPI 1841290053
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Simonetti, PA-C

  • Physician Assistant
  • Willingboro, NJ
  • NPI 1114513041
  Medicare reassignment Care Compare group
• Kimberly A Newhook, PA-C

  • Medical Physician Assistant
  • Willingboro, NJ
  • NPI 1235101064
  Medicare reassignment

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1205994928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD STE 2C",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-871-9500",
            "fax_number": "609-871-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD STE 2C",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-871-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Sunset Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461108",
            "country_code": "US",
            "telephone_number": "609-871-9500",
            "fax_number": "609-871-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WARREN S KURNICK M D DERMATOLOGY GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "KURNICK",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-871-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA057620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05987)
• Melanece M Walker
• Tanya Walker, LCSW
• Coleman W Wallace
• Karl Ian Walters
• We Care You Care
• We Help People, LLC
• Michael Webb, RPH
• Donovan Anthony Wedderburn
• Marvin A. Weinar, M.D.

• Dermatology Physician in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.