TDG Center for Dermatologic Care LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA05082700 Issued in NJ

Legal business name

TDG CENTER FOR DERMATOLOGIC CARE LLC

Practice address

170 Avenue at the CMN
Suite 2
Shrewsbury, NJ 07702-4803

Phone

(973) 571-2121

Fax

(732) 542-6392

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Simon J Samaha, MD

Title

Assistant Secretary

Phone

(973) 571-2121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1386182053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-571-2121",
            "fax_number": "973-498-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AVENUE AT THE CMN",
            "address_2": "SUITE 2",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024803",
            "telephone_number": "973-571-2121",
            "fax_number": "732-542-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDG CENTER FOR DERMATOLOGIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "973-571-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05082700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Strohmenger, DOCTOR
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• Dermatology Physician in Shrewsbury, NJ
• Providers in Shrewsbury, 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 May 1, 2017; 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.