Appearance Dermatology Eht LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

APPEARANCE DERMATOLOGY EHT LLC

Practice address

2466 E Chestnut Ave
Vineland, NJ 08361

Phone

(856) 691-3442

Fax

(856) 691-6582

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Birgit K Toome, MD

Title

Owner

Phone

(856) 691-3442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1295094589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 BLACK HORSE PIKE",
            "address_2": "UNIT B1",
            "city": "EGG HAEBOR TWSP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-484-8700",
            "fax_number": "609-484-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-3442",
            "fax_number": "856-691-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPEARANCE DERMATOLOGY EHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "TOOME",
        "authorized_official_first_name": "BIRGIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-691-3442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5133203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.