Moorestown Dermatology Associates PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MOORESTOWN DERMATOLOGY ASSOCIATES PA

Practice address

110 Marter Ave
Suite 102
Moorestown, NJ 08057-3124

Phone

(856) 235-6565

Fax

(856) 235-6566

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Germaine M Camishion, MDNPI 1477578011

Title

President

Phone

(856) 235-6565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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

• Germaine M Camishion, MD

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1477578011
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly A D'Ambra-Cabry, MD

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1881619302
  Medicare reassignment Care Compare group NPD
• Mary-Katharine Emerel, M.D.

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1174943021
  Medicare reassignment Care Compare group NPD
• Frederick D Foti Jr., MD

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1972528495
  Medicare reassignment Care Compare group NPD
• Qiujie Jiang, MD

  • Dermatology Physician
  • Moorestown, NJ
  • NPI 1316357486
  Medicare reassignment Care Compare group NPD
• Peter Y Lee, MD

  • Dermatology Physician
  • Metuchen, NJ
  • NPI 1124101654
  Medicare reassignment Care Compare group NPD
• Shannon Malloy-Craig

  • Family Nurse Practitioner
  • Moorestown, NJ
  • NPI 1932643947
  Medicare reassignment Care Compare group NPD
• Janet M Mendel, PA-C

  • Medical Physician Assistant
  • Moorestown, NJ
  • NPI 1457495459
  Medicare reassignment Care Compare group
• Lauren Monahan

  • Physician Assistant
  • Moorestown, NJ
  • NPI 1619826427
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1730104381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESTOWN DERMATOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "CAMISHION",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-235-6565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Lawrence Moore, PA-C
• Jessica Moore, RD
• Kelly Moore, PSY.D
• Moorestown Dental Associates, LLC
• Moorestown Dental Professionals, P.C.
• Moorestown Eye Associates
• Moorestown Family Practice, P.C.
• Moorestown First Aid and Emergency Squad, Inc.
• Moorestown Integrative Wellness Inc.
• Moorestown Internal Medicine, P.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 Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.