Gregory Anthony Pistone, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA03780700 Issued in NJ

Practice address

100 Centre Blvd Ste 100E
Marlton, NJ 08053-4128

Phone

(856) 983-3600

NPI assigned

Aug 25, 2006

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Gregory Anthony Pistone Professional name

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gregory a Pistone, MD Professional Corporation

  dba Pistone Cosmetic Dermatology and Surgery

  • Dermatology Physician
  • Marlton, NJ
  • NPI 1487104618
  NPD (past) Authorized official
• Lipolaser of South Jersey PC

  dba Revive Life Treatment Center of South Jersey

  • General Practice Physician
  • Marlton, NJ
  • NPI 1205443405
  Authorized official Same address or phone
• Tasker Healthcare Group PC

  dba Skinsmart Dermatology

  • Specialist
  • Wyndmoor, PA
  • NPI 1265584577
  NPD
• Advanced Surgical Center of Bergen County, P.C.

  • Ambulatory Surgical Clinic/Center
  • Ridgewood, NJ
  • NPI 1679966907
  NPD (past)
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807
  NPD (past)
• Paige Applebaum Farkas MD PA

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1760547707
  NPD (past)
• Clark Dermatology, LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Staten Island, NY
  • NPI 1417316274
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)
• Retinovitreous Associates LTD

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1952552630
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1649388398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-683-8224",
            "fax_number": "609-683-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRE BLVD STE 100E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-983-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Route 73 N",
            "address_2": "STE 301",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533470",
            "country_code": "US",
            "telephone_number": "856-988-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISTONE",
        "first_name": "GREGORY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA37807",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA03780700",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03780700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "PISTONE",
            "middle_name": "ANTHONY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Timmie Andrew Pinsky, D.O.
• Mark Edward Pinter, DMD
• Matthew G Pinto, D.O.
• Alyssa Pirone, LCSW
• Donna M Pisera, MD
• Jewel T Pittman, ETC
• Emma Rose Platt
• Nichole Plumb, LSW
• PM Optical (Brite Eyes Optical)
• Lukasz Polisiakiewicz, D.O.

• Dermatology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.