Active NPI
Rosaline A Ahkami, MD
- Dermatology Physician
- Warren, NJ
National Provider Identifier
1265449334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MA064016
- Practice address
- 122 Mt Bethel Rd Ste 1
Warren Dermatology Associates LLC
Warren, NJ 07059 - Phone
- (908) 756-7999
- Fax
- (908) 756-8017
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA064016 | NJ | Primary |
Addresses
Primary practice location
122 Mt Bethel Rd Ste 1
Warren Dermatology Associates LLC
Warren, NJ 07059
Mailing address
55 Churchill Dr
Clifton, NJ 07103
Phone (973) 471-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101004000266 | NJ | Practitioner - Dermatology | 5698967156 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA064016 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Dermatology Associates, LLC | Dermatology | Current | Accepting new patients |
Locations
1031 McBride Ave
Ste D203
Woodland Park, NJ 07424
Phone (973) 256-6350
Interoperability endpoints
- rahkami@directaddress.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- West Paterson, NJ
- NPI 1699988485
Dermatology, NJ
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Rutgers New Jersey Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlantic Dermatology Associates, LLC
Practice addresses (Care Compare)
1031 McBride Ave
D203
Woodland Park, NJ 07424-2569
Phone (973) 256-6350
1031 McBride Aveune
Suite D203
Woodland Park, NJ 07424-2569
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 23 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265449334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CHURCHILL DR",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07103",
"telephone_number": "973-471-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 MT BETHEL RD STE 1",
"address_2": "WARREN DERMATOLOGY ASSOCIATES LLC",
"city": "WARREN",
"state": "NJ",
"postal_code": "07059",
"telephone_number": "908-756-7999",
"fax_number": "908-756-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHKAMI",
"first_name": "ROSALINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "MA064016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.