NPIMap

Organization Active NPI

Morgan Dermatology

  • Medical Specialty Clinic/Center
  • Neptune, NJ
National Provider Identifier
1457613309
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA08863000 Issued in NJ
Legal business name
MORGAN DERMATOLOGY
Practice address
3405 State Route 33 FL 2
Neptune, NJ 07753-2766
Phone
(732) 508-9390
Fax
(732) 774-4028
NPI assigned
Jun 15, 2012
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Diane Morgan
Title
Office Administrator
Phone
(732) 508-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA08863000 NJ Primary

Addresses

Primary practice location

3405 State Route 33 FL 2
Neptune, NJ 07753-2766

Mailing address

3405 State Route 33 FL 2
Neptune, NJ 07753-2766
Phone (732) 508-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121023000624 NJ Part B Supplier - Clinic/Group Practice 9537319868 Receives reassigned benefits from 12 practitioners
Practice locations: Neptune, NJ

National Provider Directory

National Provider Directory

Locations

3405 State Route 33
#2
Neptune, NJ 07753
Phone (732) 508-9390

1806 State Route 35
Ste 105
Oakhurst, NJ 07755
Phone (732) 414-2005

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHGJBA

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1457613309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 STATE ROUTE 33 FL 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532766",
            "telephone_number": "732-508-9390",
            "fax_number": "732-774-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 STATE ROUTE 33 FL 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532766",
            "telephone_number": "732-508-9390",
            "fax_number": "732-774-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-508-9390"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08863000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.