Organization Active NPI

Aura Dermatology at Somerset LLC

  • Dermatology Physician
  • Somerset, NJ
National Provider Identifier
1467091983
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AURA DERMATOLOGY AT SOMERSET LLC
Practice address
75 Veronica Ave Ste 205
Somerset, NJ 08873-5002
Phone
(732) 246-9900
Fax
(732) 246-9902
NPI assigned
Jan 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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

Authorized official

Name
Sapana V Patel, CRNPNPI 1235398918
Title
Member
Phone
(732) 246-9900

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

75 Veronica Ave Ste 205
Somerset, NJ 08873-5002

Mailing address

75 Veronica Ave Ste 205
Somerset, NJ 08873-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200204001087 NJ Part B Supplier - Clinic/Group Practice 0648606087 Receives reassigned benefits from 5 practitioners
Practice locations: Somerset, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2178377Aura Dermatology at Somerset75 Veronica Avenue, Suite 205, Somerset, NJ 08873Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577836800000",
    "number": "1467091983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE STE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE STE 205",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-246-9900",
            "fax_number": "732-246-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURA DERMATOLOGY AT SOMERSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAPANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-246-9900",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.