NPIMap

Organization Active NPI

Gregory a Pistone, MD Professional Corporation

Doing business as Pistone Cosmetic Dermatology and Surgery

  • Dermatology Physician
  • Marlton, NJ
National Provider Identifier
1487104618
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA37807 Issued in NJ
Legal business name
GREGORY A PISTONE, MD PROFESSIONAL CORPORATION
Doing business as
Pistone Cosmetic Dermatology and Surgery
Practice address
601 Route 73 N
#301
Marlton, NJ 08053-3470
Phone
(856) 988-8080
NPI assigned
Oct 12, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Gregory Anthony Pistone, MDNPI 1649388398
Title
Ceo
Phone
(856) 988-8080

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 Physician 207N00000X MA37807 NJ Primary

Addresses

Primary practice location

601 Route 73 N
#301
Marlton, NJ 08053-3470

Mailing address

601 Route 73 N
#301
Marlton, NJ 08053-3470
Phone (856) 988-8080

Other names 1

  • Pistone Cosmetic Dermatology and Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

601 Route 73 N
Ste 301
Marlton, NJ 08053
Phone (856) 988-8080

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1487104618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROUTE 73 N",
            "address_2": "#301",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533470",
            "telephone_number": "856-988-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROUTE 73 N",
            "address_2": "#301",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533470",
            "telephone_number": "856-988-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A PISTONE, MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "PISTONE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-988-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA37807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pistone Cosmetic Dermatology and Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.