South Jersey Dermatology Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03237000 Issued in NJ

Legal business name

SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA

Practice address

900 Route 168
F6
Turnersville, NJ 08012-3233

Phone

(856) 227-7488

Fax

(856) 228-3476

NPI assigned

Mar 9, 2006

Last updated

Apr 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Booth H Durham, M.D.

Title

President

Phone

(856) 227-7488

Specialties & licenses 1

Addresses

Locations

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.

• Melvin Saul Gruber, MD

  • Dermatology Physician
  • Turnersville, NJ
  • NPI 1912019332
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1710955323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168",
            "address_2": "F6",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123233",
            "telephone_number": "856-227-7488",
            "fax_number": "856-228-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168",
            "address_2": "F6",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123233",
            "telephone_number": "856-227-7488",
            "fax_number": "856-228-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "BOOTH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-227-7488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03237000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natali P Snyder, D.O.
• Karen D. Sobers-Brown, MD
• Sonoran Health LLC
• Sonoran Health LLC
• Christine Sonsini
• South Jersey Spine & Rehabilitation LLC
• Specialty Care at Washington Township
• Dana Spitz
• Spiv Optics, Inc (Sterling Optical)
• Robert Neil Spivack, O.D.

• Specialist in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.