Active NPI
Institute for Dermatopathology, Inc.
- Clinical Medical Laboratory
- Stone Harbor, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- INSTITUTE FOR DERMATOPATHOLOGY, INC.
- Practice address
- 10029 Sunrise Dr
Stone Harbor, NJ 08247-1315 - Phone
- (800) 257-0117
- Fax
- (610) 550-3079
- NPI assigned
- May 2, 2023
- Organization subpart
- Yes
- Parent organization
- AMERIPATH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darren Thomas Wheeler
- Title
- Vice President
- Phone
- (702) 733-7866
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
10029 Sunrise Dr
Stone Harbor, NJ 08247-1315
Mailing address
14275 Midway Rd Ste 400
Addison, TX 75001-3614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D2279658 | Other | NJ | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230815002651 | NJ | Part B Supplier - Independent Clinical Laboratory | 6800854571 | Practice locations: Stone Harbor, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Clinical Medical Laboratory
- Newtown Square, PA
- NPI 1538131362
6800854571
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2279658 | Institute for Dermatopathology Inc | Compliance | Jul 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Institute for Dermatopathology Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Flourtown, PA
- NPI 1093595829
-
- Clinical Medical Laboratory
- Pittsburgh, PA
- NPI 1821060641
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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.
-
- Anatomic Pathology Physician
- Las Vegas, NV
- NPI 1487661161
-
- Dermatopathology Physician
- Newtown Square, PA
- NPI 1336141373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1295424646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10029 SUNRISE DR",
"city": "STONE HARBOR",
"state": "NJ",
"postal_code": "082471315",
"telephone_number": "800-257-0117",
"fax_number": "610-550-3079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE FOR DERMATOPATHOLOGY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERIPATH INC",
"enumeration_date": "2023-05-02",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "702-733-7866"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "31D2279658",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stone Harbor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.