Organization Active NPI

Aura Dermatology at Robbinsville LLC

  • Dermatology Physician
  • Robbinsville, NJ
National Provider Identifier
1578025920
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AURA DERMATOLOGY AT ROBBINSVILLE LLC
Practice address
17 Main St Ste 304
Robbinsville, NJ 08691-1436
Phone
(609) 415-3376
Fax
(609) 415-3377
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Sapana Patel, CRNPNPI 1235398918
Title
Member
Phone
(609) 415-3376

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

17 Main St Ste 304
Robbinsville, NJ 08691-1436

Mailing address

17 Main St Ste 304
Robbinsville, NJ 08691-1436
Phone (609) 415-3376

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherNJMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190517001414 NJ Part B Supplier - Clinic/Group Practice 0749523520 Receives reassigned benefits from 4 practitioners
Practice locations: Robbinsville, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2169908Aura Dermatology at Robbinsville17 Main Street, Robbinsville, NJ 08691Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

17 Main St
Ste 304
Robbinsville, NJ 08691
Phone (609) 415-3376

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1578025920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST STE 304",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911436",
            "telephone_number": "609-415-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST STE 304",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911436",
            "telephone_number": "609-415-3376",
            "fax_number": "609-415-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURA DERMATOLOGY AT ROBBINSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAPANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-415-3376",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.