Organization Active NPI

Warren Dermatology Associates LLC

  • Dermatology Physician
  • Warren, NJ
National Provider Identifier
1730102666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WARREN DERMATOLOGY ASSOCIATES LLC
Practice address
122 Mount Bethel Rd
Suite 1
Warren, NJ 07059-5127
Phone
(908) 756-7999
Fax
(908) 756-8017
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Therese Seylaz
Title
Office Manager
Phone
(908) 756-7999

Specialties & licenses 1

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

Addresses

Primary practice location

122 Mount Bethel Rd
Suite 1
Warren, NJ 07059-5127

Mailing address

122 Mount Bethel Rd
Suite 1
Warren, NJ 07059-5127
Phone (908) 756-7999

National Provider Directory

National Provider Directory

Locations

122 Mount Bethel Rd
Ste 1
Warren, NJ 07059
Phone (908) 756-7999

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730102666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MOUNT BETHEL RD",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595127",
            "telephone_number": "908-756-7999",
            "fax_number": "908-756-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MOUNT BETHEL RD",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595127",
            "telephone_number": "908-756-7999",
            "fax_number": "908-756-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN DERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEYLAZ",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-756-7999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.