Active NPI
Meta Dermatology
- Dermatology Physician
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Parmvir Singh, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2282155 | Meta Dermatology LLC | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Robbinsville, NJ
- NPI 1417304478
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.