CCM Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CCM DERMATOLOGY LLC

Practice address

110 Marter Ave Ste 501
Moorestown, NJ 08057-3120

Phone

(610) 809-1850

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Catherine Choi, MD, PHDNPI 1467689018

Title

Dermatologist

Phone

(610) 809-1850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Catherine Helen Choi, MD, PHD

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1467689018
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1710550371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 BENTLEY CT",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574804",
            "telephone_number": "610-809-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 501",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573120",
            "telephone_number": "610-809-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCM DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "610-809-1850",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Wesley Carter, PA-C
• Whitny Nicole Castano, APN
• Maureen Castello, OTR,OTD/CHT
• Patrick M Cates
• Kevin J Cauley, ATC
• David Cecere
• Sean Ceci, PA-C, ATC
• Central Pain and Wellness
• Central Pain and Wellness LLC
• Mysty Chacko, PA-C

• Dermatology Physician in Moorestown, NJ
• Providers in Moorestown, 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 Dec 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.