Organization Active NPI

Montville Dermatology and Laser Center

  • Procedural Dermatology Physician
  • Montville, NJ
National Provider Identifier
1427115229
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
MONTVILLE DERMATOLOGY AND LASER CENTER
Doing business as
Solutions Dermatology Center
Practice address
350 Main Rd
Suite - 103
Montville, NJ 07045-9222
Phone
(973) 402-1563
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Michael Ross Bilkis, MD
Title
President
Phone
(973) 402-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

350 Main Rd
Suite - 103
Montville, NJ 07045-9222

Mailing address

350 Main Rd
Suite - 103
Montville, NJ 07045-9222
Phone (973) 402-1563

Other names 1

  • Solutions Dermatology Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1427115229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN RD",
            "address_2": "SUITE - 103",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459222",
            "telephone_number": "973-402-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN RD",
            "address_2": "SUITE - 103",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459222",
            "telephone_number": "973-402-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE DERMATOLOGY AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BILKIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-402-1563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solutions Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.