Dermatologix, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07151700 Issued in NJ

Legal business name

DERMATOLOGIX, INC

Practice address

1401 New Rd
Linwood, NJ 08221-1121

Phone

(609) 927-5885

Fax

(609) 927-5565

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Joseph J Hong, M.D.NPI 1548231228

Title

Physician

Phone

(609) 927-5885

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Joseph Johnson Hong, MD

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1548231228
  NPD Authorized official
• Robert Vincent Desilverio Jr., MD

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1972591147

  Single Specialty

  NPD
• Priya Thakker, M.D.

  • MOHS-Micrographic Surgery Physician
  • Holmdel, NJ
  • NPI 1538359633
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497841787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NEW RD STE A",
            "address_2": "PO BOX 107",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211121",
            "telephone_number": "609-927-5885",
            "fax_number": "609-927-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211121",
            "telephone_number": "609-927-5885",
            "fax_number": "609-927-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-927-5885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07151700",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07850300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "052440SGY",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "091049SGY",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Patrick De Palma, M.D.
• Fernando J Delasotta, M.D.
• Holly Lynn Delong, MD, RDN
• Delta Community Supports, Inc.
• Christopher Joseph Depolis Jr., D.C.
• Joseph T Derosa, PT
• Robert Vincent Desilverio Jr., MD
• Janis Desrosiers
• Christopher Paul Dewees
• Shannon Dickson, OTR

• Specialist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.