Associates in Dermatology and Cosmetic Surgery the Millburn Laser Cent

Key facts

NPI

1487770905

Entity type

Organization (NPI type 2)

Primary specialty

Dermatology Physician 207N00000X

License

MC68842 (NJ)

Legal business name

ASSOCIATES IN DERMATOLOGY AND COSMETIC SURGERY THE MILLBURN LASER CENT

Practice address

12 E Willow St
Millburn, NJ 07041-1417

Phone

(973) 376-8500

Fax

(973) 376-1820

NPI assigned

Mar 22, 2007

Organization subpart

No

Authorized official

Name

Eric Scott Siegel, MD NPI 1275578262

Title

Owner

Phone

(973) 376-8500

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 13

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

• Eric Scott Siegel, M.D. Dermatology Physician · Millburn, NJ · NPI 1275578262
  NPD Authorized official DERMATOLOGY
• Allyson Stacy Brockman-Bitterman, MD Dermatology Physician · Millburn, NJ · NPI 1871535435
  NPD DERMATOLOGY
• Amy Ilyse Freeman, MD Dermatology Physician · Millburn, NJ · NPI 1467448514
  NPD DERMATOLOGY
• Ana Cristina Laureano, M.D. Dermatology Physician · Fair Lawn, NJ · NPI 1740544279
  NPD DERMATOLOGY
• Gail Holly Mautner, MD Dermatology Physician · Millburn, NJ · NPI 1053353680
  NPD DERMATOLOGY
• Sharon Scherl, M.D. Dermatology Physician · Tenafly, NJ · NPI 1770515595
  NPD DERMATOLOGY
• Saira Zafar, MD Allergy & Immunology Physician · Millburn, NJ · NPI 1871029199
  NPD
• Jennifer L Chwalek, MD Dermatology Physician · Union City, CA · NPI 1407999667
  NPD DERMATOLOGY
• Ezra Hazan MOHS-Micrographic Surgery Physician · Brooklyn, NY · NPI 1649666975
  NPD
• Lisa Robin Rothman, M.D. Procedural Dermatology Physician · New York, NY · NPI 1831538644
  NPD
• Sarah Daoud, PA-C Physician Assistant · Englewood Cliffs, NJ · NPI 1346095171
  NPD (past)
• Sara Elizabeth Passman, FNP-BC Family Nurse Practitioner · Millburn, NJ · NPI 1184554628
  NPD (past)
• Kristine Sauerwald Family Nurse Practitioner · Millburn, NJ · NPI 1649121088
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2022.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1487770905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EAST WILLOW STREET",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-376-8500",
            "fax_number": "973-376-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411417",
            "telephone_number": "973-376-8500",
            "fax_number": "973-376-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN DERMATOLOGY AND COSMETIC SURGERY THE MILLBURN LASER CENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-376-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MC68842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NO.",
            "identifier": "070015262",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PIN",
            "identifier": "2299713",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NO.",
            "identifier": "2299763",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP PROVIDER NO.",
            "identifier": "0439712000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PIN",
            "identifier": "DA1464",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Millburn, NJ · Dermatology Physician in New Jersey