Kinnelon Dermatology Associates PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA04598300 Issued in NJ

Legal business name

KINNELON DERMATOLOGY ASSOCIATES PC

Practice address

135 Kinnelon Rd
Suite 103
Kinnelon, NJ 07405-2333

Phone

(973) 838-1771

Fax

(973) 492-2858

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jo-Ann SzylitNPI 1134102106

Title

MD

Phone

(973) 838-1771

Specialties & licenses 1

Addresses

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

Practitioners 7

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

• Jo-Ann Szylit, MD

  • Dermatology Physician
  • Kinnelon, NJ
  • NPI 1134102106
  Medicare reassignment Care Compare group Authorized official
• David Hermogenes Ciocon, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hackensack, NJ
  • NPI 1790878866

  Dermatology

  Medicare reassignment Care Compare group NPD
• Therese P Casas, PAC

  • Medical Physician Assistant
  • Kinnelon, NJ
  • NPI 1588773790
  Medicare reassignment Care Compare group
• Monica Rosales Santillan

  • Dermatology Physician
  • West New York, NJ
  • NPI 1033606249
  Medicare reassignment NPD
• Antonella F Viterbo, MS,PA-C

  • Physician Assistant
  • Kinnelon, NJ
  • NPI 1760698617
  Medicare reassignment
• Allyson Walsh, FNP-C

  • Family Nurse Practitioner
  • Lakewood, NJ
  • NPI 1568821981
  NPD (past)
• Casey Roberts Croes, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1427240100
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1679804330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KINNELON RD",
            "address_2": "SUITE 103",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052333",
            "telephone_number": "973-838-1771",
            "fax_number": "973-492-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KINNELON RD",
            "address_2": "SUITE 103",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052333",
            "telephone_number": "973-838-1771",
            "fax_number": "973-492-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNELON DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "SZYLIT",
        "authorized_official_first_name": "JO-ANN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-838-1771",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04598300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Karnisovas, MA, EDS, NCC, LPC
• Zachary Katzman, DPT
• Alexander Kellish
• Gabriella Kellish
• Kinnelon Dental Group
• Kinnelon Medical & Pediatric Associates, PA
• Kinnelon Medical & Wellness Associates LLC
• Kinnelon Physical Therapy Inc
• Kinnelon Public Schools
• Matthew Klein, MD

• Dermatology Physician in Kinnelon, NJ
• Providers in Kinnelon, 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 May 24, 2010; 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.