NPIMap

Organization Active NPI

Academic Dermatology Inc

  • Dermatology Physician
  • Somerset, NJ
National Provider Identifier
1376858548
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ACADEMIC DERMATOLOGY INC
Practice address
75 Veronica Ave
Suite 205
Somerset, NJ 08873-5002
Phone
(732) 246-9900
Fax
(732) 246-9902
NPI assigned
Aug 12, 2010
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Felix Urman, MDNPI 1902844210
Title
Ceo
Phone
(518) 210-8471

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

75 Veronica Ave
Suite 205
Somerset, NJ 08873-5002

Mailing address

75 Veronica Ave
Suite 205
Somerset, NJ 08873-5002
Phone (732) 246-9900

National Provider Directory

National Provider Directory

Locations

75 Veronica Ave
Ste 205
Somerset, NJ 08873
Phone (732) 246-9900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1376858548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-246-9900",
            "fax_number": "732-246-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-246-9900",
            "fax_number": "732-246-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "URMAN",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-210-8471",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.