Organization Active NPI

Bay Dermatology, LLC

  • Dermatology Physician
  • Toms River, NJ
National Provider Identifier
1700909447
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA67229 Issued in NJ
Legal business name
BAY DERMATOLOGY, LLC
Practice address
86 E Water St
Toms River, NJ 08753-7554
Phone
(732) 557-9300
Fax
(732) 557-9010
NPI assigned
Apr 9, 2007
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Sal Thomas Laforgia, MDNPI 1861579831
Title
Principal
Phone
(732) 557-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MA67229 NJ Primary

Addresses

Primary practice location

86 E Water St
Toms River, NJ 08753-7554

Mailing address

86 E Water St
Toms River, NJ 08753-7554
Phone (732) 557-9300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1700909447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537554",
            "telephone_number": "732-557-9300",
            "fax_number": "732-557-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 E WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537554",
            "telephone_number": "732-557-9300",
            "fax_number": "732-557-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "LAFORGIA",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "732-557-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA67229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.