Organization Active NPI

Hudson Richmond Dermatologym.D., P.a.

  • Dermatology Physician
  • Bayonne, NJ
National Provider Identifier
1366795593
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HUDSON RICHMOND DERMATOLOGYM.D., P.A.
Practice address
333 Avenue C
Bayonne, NJ 07002-1471
Phone
(201) 858-4800
Fax
(201) 858-3005
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Ellen BlankNPI 1033282900
Title
M.D.
Phone
(201) 858-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

333 Avenue C
Bayonne, NJ 07002-1471

Mailing address

333 Avenue C
Bayonne, NJ 07002-1471
Phone (201) 858-4800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1366795593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021471",
            "telephone_number": "201-858-4800",
            "fax_number": "201-858-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021471",
            "telephone_number": "201-858-4800",
            "fax_number": "201-858-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON RICHMOND DERMATOLOGYM.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "201-858-4800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.