Organization Active NPI

Hametz & Picascia Dermatology Associates

  • Specialist
  • Freehold, NJ
National Provider Identifier
1285857110
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA34616 Issued in NJ
Legal business name
HAMETZ & PICASCIA DERMATOLOGY ASSOCIATES
Practice address
77 Schanck Rd # 55
Suite B-3
Freehold, NJ 07728-2964
Phone
(732) 462-9800
Fax
(732) 308-1647
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Irwin Hametz, M.D.
Title
President
Phone
(732) 462-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA34616 NJ Primary

Addresses

Primary practice location

77 Schanck Rd # 55
Suite B-3
Freehold, NJ 07728-2964

Mailing address

77 Schanck Rd # 55
Suite B-3
Freehold, NJ 07728-2964
Phone (732) 462-9800

Other identifiers 2

IdentifierTypeStateIssuer
1306865613OtherNJDR PICASCIA NPI NUMBER
1992720999OtherNJDR HAMETZ NPI NUMBER

National Provider Directory

National Provider Directory

Locations

77 Schanck Rd
Ste B-3
Freehold, NJ 07728
Phone (732) 462-9800

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1285857110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD # 55",
            "address_2": "SUITE B-3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-462-9800",
            "fax_number": "732-308-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD # 55",
            "address_2": "SUITE B-3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-462-9800",
            "fax_number": "732-308-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMETZ & PICASCIA DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "HAMETZ",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-462-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA34616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR PICASCIA NPI NUMBER",
            "identifier": "1306865613",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HAMETZ NPI NUMBER",
            "identifier": "1992720999",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.