Cosmedical Dermatology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06657800 Issued in NJ

Legal business name

COSMEDICAL DERMATOLOGY PA

Practice address

351 Evelyn St
Paramus, NJ 07652-2901

Phone

(201) 265-1300

Fax

(201) 265-3737

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle L Cauwenberghs

Title

Dermatology Coordinator

Phone

(201) 265-1300

Specialties & licenses 1

Addresses

Practitioners 2

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

• Rebecca D Baxt, MD

  • Dermatology Physician
  • Paramus, NJ
  • NPI 1417913245
  NPD
• Saida Baxt, MD

  • Dermatology Physician
  • Paramus, NJ
  • NPI 1417919051
  NPD

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1659765311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 EVELYN ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522901",
            "telephone_number": "201-265-1300",
            "fax_number": "201-265-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 EVELYN ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522901",
            "telephone_number": "201-265-1300",
            "fax_number": "201-265-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMEDICAL DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "CAUWENBERGHS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DERMATOLOGY COORDINATOR",
        "authorized_official_telephone_number": "201-265-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06657800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Corcoran, SLP
• Brittney Jean Cordes, LSW
• Ashley Cornelio, MSW, LSW
• Anne Coronado, RD
• Alexa Cosgrove, MS, RDN, CSN
• Cosmedical Plastic Surgery & Dermatology, PA
• Cosmedical Plastic Surgery & Dermatology, PA
• Audrey Costa, LAC
• Melanie A Costa
• Nicole Costello, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.