Individual provider Active NPI

Paul Aaron Possick, MD

  • Dermatology Physician
  • Westwood, NJ
National Provider Identifier
1497756431
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA23745 Issued in NJ
Practice address
390 Old Hook Rd
Westwood, NJ 07675
Phone
(201) 666-9550
Fax
(201) 666-1251
NPI assigned
Aug 1, 2005
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA23745 NJ Primary

Addresses

Primary practice location

390 Old Hook Rd
Westwood, NJ 07675

Mailing address

390 Old Hook Rd
Westwood, NJ 07675
Phone (201) 666-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000036 NJ Practitioner - Dermatology 9133257272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA23745NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Dermatology and Dermatologic Surgery Group, PA Dermatology CurrentSince Jul 6, 1989 Accepting new patients

Locations

390 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-0707

Interoperability endpoints

  • Direct secure messaging: ppossick190127@ahs.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1497756431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-666-9550",
            "fax_number": "201-666-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-666-9550",
            "fax_number": "201-666-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSSICK",
        "first_name": "PAUL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA23745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.