Organization Active NPI

Appearance Dermatology LLC

  • Dermatology Physician
  • Vineland, NJ
National Provider Identifier
1700973617
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA05327500 Issued in NJ
Legal business name
APPEARANCE DERMATOLOGY LLC
Practice address
2466 E Chestnut Ave
Vineland, NJ 08361
Phone
(856) 691-3442
Fax
(856) 691-6582
NPI assigned
Oct 10, 2006
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Birgit K Toome, MD
Title
Manager
Phone
(856) 691-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 25MA05327500 NJ Primary

Addresses

Primary practice location

2466 E Chestnut Ave
Vineland, NJ 08361

Mailing address

2466 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 691-3442

Other names 1

  • Advanced Dermatology Former legal business name

National Provider Directory

National Provider Directory

Locations

6106 Black Horse Pike
Ste B2
Egg Harbor Township, NJ 08234
Phone (609) 484-8700

1000 Main St
Voorhees, NJ 08043
Phone (856) 751-9560

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1700973617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-3442",
            "fax_number": "856-691-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-3442",
            "fax_number": "856-691-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPEARANCE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "TOOME",
        "authorized_official_first_name": "BIRGIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-691-3442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05327500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dermatology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.