Dermatology Associates of Glen Rock, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF GLEN ROCK, P.A.

Practice address

348 S Maple Ave
Glen Rock, NJ 07452-1542

Phone

(201) 652-6060

Fax

(201) 652-1882

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Sharon A. Galvin, M.D.NPI 1962461400

Title

President

Phone

(201) 652-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Sharon A Galvin, M.D.

  • Dermatology Physician
  • Glen Rock, NJ
  • NPI 1962461400
  Medicare reassignment Care Compare group NPD Authorized official
• Jonathan S. Dosik, M.D.

  • Dermatology Physician
  • Glen Rock, NJ
  • NPI 1396704755
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1790744142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521542",
            "telephone_number": "201-652-6060",
            "fax_number": "201-652-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521542",
            "telephone_number": "201-652-6060",
            "fax_number": "201-652-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF GLEN ROCK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-652-6060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093661",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Czerminski, DC
• Nicholas Daly
• Jacquelyn Ann Dawson, DDS
• DC Medical Care LLC
• Ashley Delguercio
• Vicky Dias-Nunes
• Maria Dibenedetto, LAC
• Shaynna Nicole Digiovanni, PHD
• Dormdoc, LLC
• Jonathan S. Dosik, M.D.

• Dermatology Physician in Glen Rock, NJ
• Providers in Glen Rock, 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 Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.