Organization Active NPI

Animal Dermatology & Allergy Specialists, LLC

Doing business as Riverdale Veterinary Dermatology

  • Veterinarian
  • Riverdale, NJ
National Provider Identifier
1396120697
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI00680900 Issued in NJ
Legal business name
ANIMAL DERMATOLOGY & ALLERGY SPECIALISTS, LLC
Doing business as
Riverdale Veterinary Dermatology
Practice address
82 Newark Pompton Tpke
Riverdale, NJ 07457-1427
Phone
(973) 831-2383
NPI assigned
Jul 28, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Andrew Rosenberg, DVM, DACVD
Title
Owner/Dermatologist
Phone
(973) 831-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X 29VI00680900 NJ Primary

Addresses

Primary practice location

82 Newark Pompton Tpke
Riverdale, NJ 07457-1427

Mailing address

82 Newark Pompton Tpke
Riverdale, NJ 07457-1427
Phone (973) 831-2383

Other names 1

  • Riverdale Veterinary Dermatology Doing business as

National Provider Directory

National Provider Directory

Locations

82 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (914) 750-5812

Practitioners & affiliated clinicians

Practitioners 2

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": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1396120697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571427",
            "telephone_number": "973-831-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571427",
            "telephone_number": "973-831-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMAL DERMATOLOGY & ALLERGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/DERMATOLOGIST",
        "authorized_official_telephone_number": "973-831-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM, DACVD"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00680900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverdale Veterinary Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.