NPIMap

Organization Active NPI

DW Derm PC

  • Dermatology Physician
  • Fair Lawn, NJ
National Provider Identifier
1245603281
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DW DERM PC
Practice address
23-00 Route 208 South
Suite 1-2
Fair Lawn, NJ 07410-1558
Phone
(201) 797-7770
Fax
(201) 797-1660
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Darryl S Weiss, M.D.
Title
Medical Doctor
Phone
(201) 797-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

23-00 Route 208 South
Suite 1-2
Fair Lawn, NJ 07410-1558

Mailing address

23-00 Route 208 South
Suite 1-2
Fair Lawn, NJ 07410-1558
Phone (201) 797-7770

National Provider Directory

National Provider Directory

Locations

23-00 Route 208
Ste 1-2
Fair Lawn, NJ 07410
Phone (201) 797-7770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1245603281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 SOUTH",
            "address_2": "SUITE 1-2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "201-797-7770",
            "fax_number": "201-797-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 SOUTH",
            "address_2": "SUITE 1-2",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "201-797-7770",
            "fax_number": "201-797-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW DERM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "201-797-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.