Douglas Atmatzidis, MD
Individual provider Active NPI Dermatology Physician · Morristown, NJ
NPI 1235634767 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1235634767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 25MA11447900 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- 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.
NJ Certified Dermatology PC
Blue Ridge Dermatology Associates
Practice addresses (Care Compare)
182 S St
Suite 1
Morristown, NJ 07960-5350
Phone 9732670301117
2275 Route 33
Suite 303
Hamilton, NJ 08690-1748
Phone (732) 456-7777
4225 Macon Pond Rd
Suite 300
Raleigh, NC 27607-6320
Phone (919) 781-1050
721 N Beers St
Suite 1C 1D
Holmdel, NJ 07733-1518
Phone (732) 456-7777
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.38 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 74.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.26 of 100
- Quality
- 93.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 46 |
| Removal of skin lesions | 164 |
| Removal of skin cancer | 228 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 47 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220518002194 | NJ | Practitioner - Dermatology | 3577892058 | Reassigns benefits to 3 organizations |
| I20260122004282 | NC | Practitioner - Dermatology |
3577892058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11447900 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Dermatology Associates | Dermatology | Current |
Accepting new patients |
| Advanced Dermatology Associates, P.a. | Dermatology | Current |
Accepting new patients |
| NJ Certified Dermatology PC | Dermatology | Current |
Accepting new patients |
| NJ Certified Dermatology PC | Dermatology | Current |
Accepting new patients |
| Affiliated Dermatologists and Dermatologic Surgeons, P.a. | Dermatology | Current |
Accepting new patients |
| NJ Certified Dermatology PC | Dermatology | Past | Accepting new patients |
Locations
4225 Macon Pond Rd
Ste 300
Raleigh, NC 27607
Phone (919) 781-1050
182 South St
Ste 1
Morristown, NJ 07960
Phone (973) 267-0300
200 Perrine Rd
Ste 226
Old Bridge, NJ 08857
1580 Lakewood Rd
Ste 16
Toms River, NJ 08755
2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100
101 Old Short Hills Rd
Ste 205
West Orange, NJ 07052
Phone (973) 243-2300
101 Old Short Hills Rd
Ste 503
West Orange, NJ 07052
Phone (973) 243-2300
Interoperability endpoints
- datmatzidis469921@direct.ahsys.org
- douglas.atmatzida@affiliateddermatologists.chartmakerdirect.com
- datmatzidis@cdnj.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA11447900 | NJ | Yes |
Addresses
Primary practice location
182 South St Ste 1
Morristown, NJ 07960-5350
Mailing address
182 South St Ste 1
Morristown, NJ 07960-5350
Phone (973) 267-0300
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All providers in Morristown, NJ · Dermatology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.