Douglas Atmatzidis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA11447900 Issued in NJ

Practice address

182 South St Ste 1
Morristown, NJ 07960-5350

Phone

(973) 267-0300

Fax

(973) 984-2670

NPI assigned

Mar 27, 2018

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NC2 enrollments

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 2

Specialty

Dermatology

Education

Rutgers New Jersey Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Dermatologists and Dermatologic Surgeons, P.a.Group PAC ID 2961305065, 14 clinicians

NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Blue Ridge Dermatology AssociatesGroup PAC ID 7618941444, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.6

Merit-based Incentive Payment System (MIPS)

Final score

94.26 of 100Reported as group

Quality

93.24

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: datmatzidis@cdnj.emadirect.md
• Direct secure messaging: datmatzidis469921@direct.ahsys.org
• Direct secure messaging: douglas.atmatzida@affiliateddermatologists.chartmakerdirect.com

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.

• Affiliated Dermatologists and Dermatologic Surgeons, P.a.

  • Procedural Dermatology Physician
  • Morristown, NJ
  • NPI 1760537914
  Medicare reassignment Care Compare group NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807
  Medicare reassignment Care Compare group NPD
• Blue Ridge Dermatology Associates

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1770545550
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology Associates, P.a.

  • Dermatology Physician
  • West Orange, NJ
  • NPI 1871638940
  Medicare reassignment NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Bayonne, NJ
  • NPI 1487169702
  NPD
• NJ Certified Dermatology PC

  dba Dedicated Dermatology

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1235634767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605350",
            "telephone_number": "973-267-0300",
            "fax_number": "973-984-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST STE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605350",
            "telephone_number": "973-267-0300",
            "fax_number": "973-984-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATMATZIDIS",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA11447900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Morristown, NJ
• Providers in Morristown, 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 Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.