NJ Certified Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NJ CERTIFIED DERMATOLOGY PC

Practice address

670 Broadway
Bayonne, NJ 07002-4726

Phone

(732) 456-7777

Fax

(848) 251-2189

NPI assigned

Dec 8, 2017

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rami E GeffnerNPI 1366491110

Title

MD/Owner

Phone

(732) 456-7777

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807

  O20160725000074

  Same enrollment

Locations

Practitioners 17

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.

• Rami E Geffner, MD

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1366491110
  NPD Authorized official
• Douglas Atmatzidis, MD

  • Dermatology Physician
  • Morristown, NJ
  • NPI 1235634767
  NPD
• Lemarra Rena Brown, DPM, DO

  • Family Medicine Physician
  • Galloway, NJ
  • NPI 1710120407
  NPD
• Nicole Marie Clark, APRN

  • Family Nurse Practitioner
  • Mantua, NJ
  • NPI 1689395311
  NPD
• Ritu Gupta, APN

  • Family Nurse Practitioner
  • Highland Park, NJ
  • NPI 1922344399
  NPD
• Sunita Jadhav, NP

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1750044145
  NPD
• Peter Lapis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Forked River, NJ
  • NPI 1164604153
  NPD
• Larissa Lobato, N.P.

  • Family Nurse Practitioner
  • Shrewsbury, NJ
  • NPI 1023367166
  NPD
• Elsie A Rivera, NP

  • Family Nurse Practitioner
  • Neptune, NJ
  • NPI 1770873382
  NPD
• Shazia Saif, MD

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1720092141
  NPD
• Sweety Samuel

  • Psychiatric/Mental Health Registered Nurse
  • Verona, NJ
  • NPI 1861128407
  NPD
• Prabhas Trivedi, MD

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1902856834
  NPD

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1487169702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024726",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Bound Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Middlesex",
            "state": "NJ",
            "postal_code": "088462201",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 Route 206",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444139",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ CERTIFIED DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "GEFFNER",
        "authorized_official_first_name": "RAMI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "732-456-7777"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0579912",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "512734",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael John Nicholson, DO
• Maria E. Nieves, NP
• Khuld Nihan, MD
• NJ Acupuncture Center
• NJ Audiology Group Inc
• NJ Golden Home Care Co.
• NJ Pain Rehabilitation Group, PC
• NJ Psychotherapy Associates
• NJ Spine and Pain Institute LLC
• Njib LLC

• Dermatology Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.