Active NPI
Patriot Dermatology, Scorp
- Dermatology Physician
- Lawrenceville, NJ
National Provider Identifier
1265130413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- PATRIOT DERMATOLOGY, SCORP
- Practice address
- 638 Lawrenceville Rd Ste B
Lawrenceville, NJ 08648-4208 - Phone
- (609) 337-7643
- Fax
- (609) 337-7648
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erine A Kupetsky, DO
- Title
- Owner, Dermatologist
- Phone
- (609) 947-3786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
638 Lawrenceville Rd Ste B
Lawrenceville, NJ 08648-4208
Mailing address
1 Becca Way
Allentown, NJ 08501-2100
Phone (609) 947-3786
Other practice location 1
5317 Colewood Pl
Sarasota, FL 34232-5607
Phone (941) 500-4816
Other names 1
- Wellness Dermatology Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Lawrenceville, NJ
- NPI 1952400012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768348800000",
"number": "1265130413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BECCA WAY",
"city": "ALLENTOWN",
"state": "NJ",
"postal_code": "085012100",
"telephone_number": "609-947-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 LAWRENCEVILLE RD STE B",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484208",
"telephone_number": "609-337-7643",
"fax_number": "609-337-7648"
}
],
"practiceLocations": [
{
"address_1": "5317 Colewood Pl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342325607",
"country_code": "US",
"telephone_number": "941-500-4816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATRIOT DERMATOLOGY, SCORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A",
"authorized_official_last_name": "KUPETSKY",
"authorized_official_first_name": "ERINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER, DERMATOLOGIST",
"authorized_official_telephone_number": "609-947-3786",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellness Dermatology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.