Individual provider Active NPI

Booth Hammond Durham, MD

  • Dermatology Physician
  • Sewell, NJ
National Provider Identifier
1740392075
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA03237000 Issued in NJ
Practice address
570 Egg Harbor Rd Ste C1
Sewell, NJ 08080
Phone
(856) 256-8899
NPI assigned
Aug 31, 2006
Last updated
Aug 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA03237000 NJ Primary

Addresses

Primary practice location

570 Egg Harbor Rd Ste C1
Sewell, NJ 08080

Mailing address

570 Egg Harbor Rd Ste C1
Sewell, NJ 08080-2359
Phone (856) 256-8899

Other identifiers 2

IdentifierTypeStateIssuer
25MA03237000OtherNJSTATE LICENSE
1740392075OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000505 NJ Practitioner - Dermatology 4789710492 Reassigns benefits to 1 organization
Practice locations: Sewell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology, P.C.Group PAC ID 2264539204, 4 clinicians

Practice addresses (Care Compare)

570 Egg Harbor Rd
Sewell, NJ 08080-2359
Phone (856) 256-8899

Merit-based Incentive Payment System (MIPS)

Final score
95.73 of 100Reported as individual
Quality
95.5
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of tissue20
Removal of skin lesions1154
Removal or shaving of skin growth1-10
Skin biopsy288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology, P.C. Dermatology CurrentSince Dec 30, 2017 Accepting new patients

Locations

570 Egg Harbor Rd
Ste C1
Sewell, NJ 08080
Phone (856) 227-7488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1740392075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE C1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802359",
            "telephone_number": "856-256-8899",
            "fax_number": "856-256-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EGG HARBOR RD STE C1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-256-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "BOOTH",
        "middle_name": "HAMMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA03237000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA03237000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740392075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.