Individual provider Active NPI

Marie Chen, MS PAC

  • Physician Assistant
  • Verona, NJ
National Provider Identifier
1811074263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00086100 Issued in NJ
Practice address
60 Pompton Ave
The Dermatology Group, P.C.
Verona, NJ 07044-2946
Phone
(856) 577-7087
Fax
(973) 571-2126
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00086100 NJ Primary

Addresses

Primary practice location

60 Pompton Ave
The Dermatology Group, P.C.
Verona, NJ 07044-2946

Mailing address

60 Pompton Ave
The Dermatology Group, P.C.
Verona, NJ 07044-2946
Phone (856) 577-7087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041111000395 NJ Practitioner - Physician Assistant 4789647587 Reassigns benefits to 3 organizations
I20161118000340 NY Practitioner - Physician Assistant 4789647587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contemporary Dermatology LLCGroup PAC ID 8628475647, 12 clinicians
Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

25 Mountainview Blvd
Suite 206B
Basking Ridge, NJ 07920-3453
Phone (908) 549-5800

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00086100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Dermatology LLC CurrentSince Feb 15, 2026 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Dec 1, 2020 Accepting new patients
North Jersey Dermatology Center,P.C. CurrentSince Jul 8, 2011 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
Medical Monitoring Past Accepting new patients

Locations

3880 Falmouth Rd
Marstons Mls, MA 02648
Phone (508) 492-3200

25 Mountainview Blvd
Ste 206B
Basking Ridge, NJ 07920
Phone (908) 549-5800

25 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 758-1006

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

35 Green Pond Rd
Ste C
Rockaway, NJ 07866
Phone (973) 208-8110

35 Green Pond Rd
Rockaway, NJ 07866
Phone (973) 586-7447

Interoperability endpoints

  • Direct secure messaging: mchen76886@direct.optum.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811074263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 POMPTON AVE",
            "address_2": "THE DERMATOLOGY GROUP, P.C.",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442946",
            "telephone_number": "856-577-7087",
            "fax_number": "973-571-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 POMPTON AVE",
            "address_2": "THE DERMATOLOGY GROUP, P.C.",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442946",
            "telephone_number": "856-577-7087",
            "fax_number": "973-571-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00086100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.