Individual provider Active NPI

Robert A Allen, M.D.

  • Dermatopathology Physician
  • Mount Laurel, NJ
National Provider Identifier
1346376845
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
25MA06833500 Issued in NJ
Practice address
150 Century Pkwy Ste 105
Mount Laurel, NJ 08054-1129
Phone
(856) 206-0201
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 25MA06833500 NJ Primary

Addresses

Primary practice location

150 Century Pkwy Ste 105
Mount Laurel, NJ 08054-1129

Mailing address

112 White Horse Pike
RT. 30
Haddon Heights, NJ 08035-1908
Phone (856) 546-8672

Other practice location 1

112 White Horse Pike
Rt. 30
Haddon Heights, NJ 08035-1908
Phone (856) 546-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000317 NJ Practitioner - DermatologyPractitioner - Pathology 1658277009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of South Jersey, L.L.C.Group PAC ID 7113016858, 6 clinicians

Practice addresses (Care Compare)

150 Century Pkwy
Suite 105
Mount Laurel, NJ 08054-1129
Phone (856) 206-0201

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2421
Removal or shaving of skin growth569
Skin biopsy51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Consultants, LLC Dermatopathology CurrentSince Apr 1, 2005 Accepting new patients
Dermatology Associates of South Jersey, L.L.C. Dermatopathology CurrentSince Jan 1, 2021 Accepting new patients
Dermatopathology Consultants, LLC Current Accepting new patients
Family Dermatology of Pennsylvania, PC Dermatopathology Past Accepting new patients
Deirdre Wood MD PC PastSince Oct 1, 2013 Accepting new patients
Pennsylvania Dermatology Partners Inc Dermatopathology PastSince Aug 1, 2022 Accepting new patients

Locations

104 White Horse Pike
Haddon Hgts, NJ 08035
Phone (610) 202-5660

112 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-5353

112 White Horse Pike
#30
Haddon Hgts, NJ 08035
Phone (856) 546-5353

150 Century Pkwy
Ste 105
Mount Laurel, NJ 08054
Phone (856) 206-0201

Interoperability endpoints

  • Direct secure messaging: rallen@dasj.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1346376845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WHITE HORSE PIKE",
            "address_2": "RT. 30",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351908",
            "telephone_number": "856-546-8672",
            "fax_number": "856-546-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CENTURY PKWY STE 105",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541129",
            "telephone_number": "856-206-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 White Horse Pike",
            "address_2": "Rt. 30",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351908",
            "country_code": "US",
            "telephone_number": "856-546-8672",
            "fax_number": "856-546-5315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MA06833500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.