NPIMap

Organization Active NPI

Ahkami Dermatology Associates, LLC

  • Dermatology Physician
  • Woodland Park, NJ
National Provider Identifier
1396172292
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AHKAMI DERMATOLOGY ASSOCIATES, LLC
Practice address
1031 McBride Ave
Suite D203
Woodland Park, NJ 07424-2559
Phone
(973) 256-6350
Fax
(973) 256-7388
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Rosaline Ahkami, M.D.NPI 1265449334
Title
Owner
Phone
(973) 256-6350

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 Physician 207N00000X NU Primary

Addresses

Primary practice location

1031 McBride Ave
Suite D203
Woodland Park, NJ 07424-2559

Mailing address

1031 McBride Ave
Suite D203
Woodland Park, NJ 07424-2559
Phone (973) 256-6350

National Provider Directory

National Provider Directory

Locations

1031 McBride Ave
Ste D203
Woodland Park, NJ 07424
Phone (973) 256-6350

Practitioners & affiliated clinicians

Practitioners 9

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": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1396172292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "SUITE D203",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "973-256-6350",
            "fax_number": "973-256-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "SUITE D203",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "973-256-6350",
            "fax_number": "973-256-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHKAMI DERMATOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "AHKAMI",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-256-6350",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.