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

Last updated

Aug 31, 2015By 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

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

Locations

Practitioners 10

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.

• 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
• Melissa Richart, PA-C

  • Physician Assistant
  • Moorestown, NJ
  • NPI 1275924847
  NPD
• 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": []
}

• Carlos Neilfreid Monterroyo, PT
• Brady Lawrence Moore, PA-C
• Jessica Moore, RD
• 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 Emergency Medical Services)
• 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.