Dermaheal LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DERMAHEAL LLC

Practice address

532 Lafayette Rd Ste 300
Sparta, NJ 07871-4411

Phone

(973) 940-0423

Fax

(973) 940-0399

NPI assigned

Oct 6, 2025

Last updated

Oct 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter Grote, DONPI 1811983745

Title

MD -Owner

Phone

(973) 940-0423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Walter R Grote, DO

  • Internal Medicine Physician
  • Sparta, NJ
  • NPI 1811983745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1275408734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD STE 300",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714411",
            "telephone_number": "973-940-0423",
            "fax_number": "973-940-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD STE 300",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714411",
            "telephone_number": "973-940-0423",
            "fax_number": "973-940-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAHEAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MD -OWNER",
        "authorized_official_telephone_number": "973-940-0423",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Delong
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)
• Carmen Joseph Depasquale, LSW
• Jaime Ann Dequinzio, PH.D
• Derek R. Noonan, DMD, LLC
• Priyank Desai, D.O.
• Jamie L Desena, DPT
• Catherine Ann Destefano, LCSW
• Rebecca Diazo, INHC
• Nancy Sheri Dimauro, LPN

• Internal Medicine Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.