NPIMap

Organization Active NPI

Princeton Dermatology Associates Kendall Parkpc

  • Dermatology Physician
  • Somerset, NJ
National Provider Identifier
1770540890
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
000 Issued in NJ
Legal business name
PRINCETON DERMATOLOGY ASSOCIATES KENDALL PARKPC
Practice address
1543 State Highway 27
Suite31
Somerset, NJ 08873-3904
Phone
(732) 297-8866
Fax
(732) 821-0626
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Roderick T Kaufmann Jr., M.D.NPI 1740245539
Title
President
Phone
(609) 683-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 000 NJ Primary

Addresses

Primary practice location

1543 State Highway 27
Suite31
Somerset, NJ 08873-3904

Mailing address

301 N Harrison St
Suite 1E
Princeton, NJ 08540-3512
Phone (609) 683-4999

Other identifiers 2

IdentifierTypeStateIssuer
CJ5645OtherNJRAILROAD MEDICARE
0099064000OtherNJAMERIHEALTH

National Provider Directory

National Provider Directory

Locations

301 N Harrison St
Ste 1E
Princeton, NJ 08540
Phone (609) 683-4999

1543 State Route 27
Ste 31
Somerset, NJ 08873
Phone (732) 297-8866

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770540890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST",
            "address_2": "SUITE 1E",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403512",
            "telephone_number": "609-683-4999",
            "fax_number": "609-683-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 STATE HIGHWAY 27",
            "address_2": "SUITE31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733904",
            "telephone_number": "732-297-8866",
            "fax_number": "732-821-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON DERMATOLOGY ASSOCIATES KENDALL PARKPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAUFMANN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-683-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5645",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0099064000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.