Organization Active NPI

Dermatology and Laser Center of Northern New Jersey LLC

  • MOHS-Micrographic Surgery Physician
  • Livingston, NJ
National Provider Identifier
1518900810
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25MA02387300 Issued in NJ
Legal business name
DERMATOLOGY AND LASER CENTER OF NORTHERN NEW JERSEY LLC
Practice address
290 S Livingston Ave
Suite 1
Livingston, NJ 07039-3931
Phone
(973) 740-0101
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. Lewis Peter Stolman, M.D.
Title
Physician
Phone
(973) 740-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 25MA02387300 NJ Primary

Addresses

Primary practice location

290 S Livingston Ave
Suite 1
Livingston, NJ 07039-3931

Mailing address

290 S Livingston Ave
Suite 1
Livingston, NJ 07039-3931
Phone (973) 740-0101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1518900810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE",
            "address_2": "SUITE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393931",
            "telephone_number": "973-740-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE",
            "address_2": "SUITE 1",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393931",
            "telephone_number": "973-740-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND LASER CENTER OF NORTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "STOLMAN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-740-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA02387300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.