Dermatology Institute and Laser Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB08665600 Issued in NJ

Legal business name

DERMATOLOGY INSTITUTE AND LASER CENTER

Practice address

1100 Clifton Ave
Clifton, NJ 07013

Phone

(973) 472-1000

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Adriana O Ros, DONPI 1942468392

Title

Owner

Phone

(973) 472-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adriana Oksana Ros, D.O.

  • Dermatology Physician
  • Clifton, NJ
  • NPI 1942468392

  Dermatology, NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Sweety Samuel

  • Psychiatric/Mental Health Registered Nurse
  • Verona, NJ
  • NPI 1861128407

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1457796567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-472-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-472-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY INSTITUTE AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "ROS",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-472-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB08665600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Deodat-Sarran
• Department of Special Education of the Roman Catholic Diocese of Pater
• Department of Special Education of the Roman Catholic Diocese of Pater
• Brian G Depetris, DMD
• Dermatology Center of North Jersey
• Dermatology Institute and Laser Center, LLC
• Minauti N Desai
• Sheena Desai, MD, MBA
• Sunil B Desai, D.M.D.
• Vishal Desai

• All providers in Clifton, NJ
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.