Active NPI
Brenda Ann Merritt, M.D.
- Dermatology Physician
- Short Hills, NJ
National Provider Identifier
1407029200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA02260900
- Practice address
- 340 Hartshorn Dr
Short Hills, NJ 07078-1943 - Phone
- (973) 467-0890
- Fax
- (973) 376-3778
- NPI assigned
- Apr 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA02260900 | NJ | Primary |
Addresses
Primary practice location
340 Hartshorn Dr
Short Hills, NJ 07078-1943
Mailing address
340 Hartshorn Dr
Short Hills, NJ 07078-1943
Phone (973) 467-0890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02260900 | NJ | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1407029200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 HARTSHORN DR",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070781943",
"telephone_number": "973-467-0890",
"fax_number": "973-376-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 HARTSHORN DR",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070781943",
"telephone_number": "973-467-0890",
"fax_number": "973-376-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "BRENDA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-12",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA02260900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Short Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.