Organization Active NPI

Stephanie Badalamenti MD PHD

  • Dermatology Physician
  • West Orange, NJ
National Provider Identifier
1639368343
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07142900 Issued in NJ
Legal business name
STEPHANIE BADALAMENTI MD PHD
Practice address
101 Old Short Hills Rd
Suite 518
West Orange, NJ 07052-1000
Phone
(973) 736-7546
Fax
(973) 736-7542
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Stephanie Ann Silos Badalamenti, MD, PHD
Title
Owner
Phone
(973) 736-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 25MA07142900 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd
Suite 518
West Orange, NJ 07052-1000

Mailing address

101 Old Short Hills Rd
Suite 518
West Orange, NJ 07052-1000
Phone (973) 736-7546

Other names 1

  • Stephanie Silos Badalamenti, MD PhD LLC Other name

National Provider Directory

National Provider Directory

Locations

101 Old Short Hills Rd
Ste 518
West Orange, NJ 07052
Phone (973) 731-9067

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1639368343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 518",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-736-7546",
            "fax_number": "973-736-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 518",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-736-7546",
            "fax_number": "973-736-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE BADALAMENTI MD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SILOS BADALAMENTI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-736-7546",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07142900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Silos Badalamenti, MD PhD LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.