Organization Active NPI

Patricia N Iannotta MD LLC

  • Procedural Dermatology Physician
  • East Brunswick, NJ
National Provider Identifier
1265611222
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
PATRICIA N IANNOTTA MD LLC
Practice address
Suite E
6 Auer CT
East Brunswick, NJ 08816-5828
Phone
(732) 651-0009
NPI assigned
Oct 26, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Patricia N Iannotta, MDNPI 1942255633
Title
Sole Proprietor
Phone
(732) 651-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X NU Primary

Addresses

Primary practice location

Suite E
6 Auer CT
East Brunswick, NJ 08816-5828

Mailing address

Suite E
6 Auer CT
East Brunswick, NJ 08816-5828
Phone (732) 651-0009

National Provider Directory

National Provider Directory

Locations

6 Auer Ct
Ste E
East Brunswick, NJ 08816
Phone (732) 651-0009

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1265611222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE E",
            "address_2": "6 AUER CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165828",
            "telephone_number": "732-651-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE E",
            "address_2": "6 AUER CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165828",
            "telephone_number": "732-651-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA N IANNOTTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "IANNOTTA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "732-651-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.