NPIMap

Organization Active NPI

Westmont Medical Associates, PC

Doing business as Olivo Drematology Center

  • Dermatology Physician
  • Wesmont, NJ
National Provider Identifier
1730231150
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA04753100 Issued in NJ
Legal business name
WESTMONT MEDICAL ASSOCIATES, PC
Doing business as
Olivo Drematology Center
Practice address
201 Haddon Ave
Wesmont, NJ 08108-2860
Phone
(856) 854-0300
Fax
(856) 854-4107
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Dr. Matthew P Olivo, M.D.NPI 1669524088
Title
Owner
Phone
(856) 854-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MA04753100 NJ Primary

Addresses

Primary practice location

201 Haddon Ave
Wesmont, NJ 08108-2860

Mailing address

201 Haddon Ave
Wesmont, NJ 08108-2860
Phone (856) 854-0300

Other names 1

  • Olivo Drematology Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1730231150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HADDON AVE",
            "city": "WESMONT",
            "state": "NJ",
            "postal_code": "081082860",
            "telephone_number": "856-854-0300",
            "fax_number": "856-854-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HADDON AVE",
            "city": "WESMONT",
            "state": "NJ",
            "postal_code": "081082860",
            "telephone_number": "856-854-0300",
            "fax_number": "856-854-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMONT MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "OLIVO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-854-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA04753100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivo Drematology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.