Danowski Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DANOWSKI DERMATOLOGY LLC

Practice address

525 Route 73 S Ste 305a
Marlton, NJ 08053-9644

Phone

(415) 802-1310

NPI assigned

Nov 3, 2020

Last updated

Sep 24, 2022By 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

Dr. Kelli Mayo Danowski, DONPI 1508155300

Title

Medical Director

Phone

(856) 420-6070

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: kdanowski@danowskidermatology.ezderm.info

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.

• Kelli Mayo Danowski, D.O.

  • Dermatology Physician
  • Marlton, NJ
  • NPI 1508155300
  Authorized official Same address or phone

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663977600000",
    "number": "1326649716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 305A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-420-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 305A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "415-802-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANOWSKI DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "DANOWSKI",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MAYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "856-420-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1508155300",
            "identifier": "1508155300",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdanowski@danowskidermatology.ezderm.info",
            "affiliation": "Y",
            "affiliationName": "Danowski Dermatology LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 Route 73 S Ste 305A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080539644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdanowski@danowskidermatology.ezderm.info",
            "affiliation": "Y",
            "affiliationName": "Danowski Dermatology LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "525 Route 73 S Ste 305A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080539644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dancesport Studio LLC
• Grace Andrada Danganan, APN
• Daniel J. Ragone, Jr, MD, PA
• Joseph Daniel, DO
• Ari Daniels
• Kelli Mayo Danowski, D.O.
• Mariama Daramy, NURSE PRACTITIONER
• Barbara M. Darcy, RD
• Arthur Dash, LCSW
• Natasha Rachel Davalt

• Dermatology Physician in Marlton, NJ
• Providers in Marlton, 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 Sep 24, 2022; 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.