Organization Active NPI

Meta Dermatology

  • Dermatology Physician
  • Moorestown, NJ
National Provider Identifier
1689373383
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
META DERMATOLOGY
Practice address
1221 N Church St Ste 204
Moorestown, NJ 08057-1245
Phone
(856) 213-2569
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Parmvir Singh, MDNPI 1417304478
Title
Presidnet
Phone
(609) 578-0641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1221 N Church St Ste 204
Moorestown, NJ 08057-1245

Mailing address

316 Crescent Dr
Bordentown, NJ 08505-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523000682 NJ Part B Supplier - Clinic/Group Practice 3072979749 Receives reassigned benefits from 1 practitioner
Practice locations: Moorestown, NJ; Plainsboro, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2282155Meta Dermatology LLC1221 N Church Street, Suite 204, Moorestown, NJ 08057Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

666 Plainsboro Rd
Ste 616
Plainsboro, NJ 08536
Phone (609) 799-7766

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1689373383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CRESCENT DR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST STE 204",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "856-213-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PARMVIR",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "609-578-0641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.