Choice Dermatology LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA09007000 Issued in NJ

Legal business name

CHOICE DERMATOLOGY LLC

Practice address

12 Ridge St
Basking Ridge, NJ 07920-1785

Phone

(908) 285-3301

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marc C Meulener, MD, PHDNPI 1770739633

Title

Founder

Phone

(908) 285-3301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 7

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

• Marc C Meulener, M.D., PH.D.

  • Dermatology Physician
  • Basking Ridge, NJ
  • NPI 1770739633
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Llanos, MD

  • Student in an Organized Health Care Education/Training Program
  • Summit, NJ
  • NPI 1083292676
  Medicare reassignment Care Compare group NPD
• Adriana Marton, MD

  • Procedural Dermatology Physician
  • Red Bank, NJ
  • NPI 1780144527
  Medicare reassignment Care Compare group NPD
• Lauren Riley, APN

  • Family Nurse Practitioner
  • Fair Haven, NJ
  • NPI 1467794685
  Medicare reassignment Care Compare group NPD
• David Attar Hashemi, MD, MBA

  • Dermatology Physician
  • Boston, MA
  • NPI 1043772791

  NJ

  Medicare reassignment Care Compare group NPD
• Crystal N Appel, PA

  • Physician Assistant
  • Basking Ridge, NJ
  • NPI 1578829560
  Medicare reassignment Care Compare group
• Sydne Anne Miller

  • Medical Physician Assistant
  • Basking Ridge, NJ
  • NPI 1912160128
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1669747432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 SPRINGFIELD AVE",
            "address_2": "APT. E7",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012340",
            "telephone_number": "908-285-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIDGE ST",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201785",
            "telephone_number": "908-285-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MEULENER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "908-285-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA09007000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BUSINESS IDENTIFICATION NUMBER",
            "identifier": "0400465583",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Chavarria
• Li Chen
• Philip Joseph Cheng, MD
• Cullen C Chiu, ANP
• Katherine Chiu, RPH
• Christa U. Simons Ma, LPC
• Christine S. Quinn DPM
• Micheline Chu, MD
• William J Chu, APRN, PMHNP-BC
• Nadiya Olha Chuchvara, MD

• Medical Specialty Clinic/Center in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.