Plainsboro Dermatology LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA06725700 Issued in NJ

Legal business name

PLAINSBORO DERMATOLOGY LLC

Practice address

3836 Quakerbridge Rd
Suite 103
Hamilton, NJ 08619-1006

Phone

(609) 397-5134

NPI assigned

Mar 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Mandel, M.D.

Title

Director

Phone

(609) 937-5134

Specialties & licenses 1

Addresses

Other names 1

• Mercer Dermatology Doing business as

Locations

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1467726752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRIANS WAY",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501833",
            "telephone_number": "609-937-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 QUAKERBRIDGE RD",
            "address_2": "SUITE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191006",
            "telephone_number": "609-397-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINSBORO DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-937-5134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA06725700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.