Garden State Dermatology LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA09032700 Issued in NJ

Legal business name

GARDEN STATE DERMATOLOGY LLC

Practice address

201 New Jersey 17
Floor 11
Rutherford, NJ 07070

Phone

(617) 314-6567

NPI assigned

Jul 28, 2014

Last updated

Jul 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Preethi V Ramaswamy, MDNPI 1750523379

Title

Member

Phone

(617) 314-6567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFIHCA

Practitioners 2

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.

• Preethi Venugopal Ramaswamy, M.D

  • Dermatology Physician
  • Rutherford, NJ
  • NPI 1750523379
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea R. Medel, P.A.

  • Physician Assistant
  • Glen Ridge, NJ
  • NPI 1508098765
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1811305444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MALTESE DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105815",
            "telephone_number": "617-314-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW JERSEY 17",
            "address_2": "FLOOR 11",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "617-314-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "RAMASWAMY",
        "authorized_official_first_name": "PREETHI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-314-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA09032700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Thomas Frost, DDS
• Futura Medical Group PC
• Christopher John Gaertner, DC
• Theresa Gallagher, M.S., CCC-SLP, BCBA
• Natasha Garcia
• Cindy Carla Gelber, LCSW
• George Langer DDS & Robert Montemurno DMD PA (Brosnan Langer & Montemurno PA)
• Geria Dermatology LLC
• Aanand Navin Geria, MD
• Marieanne Giardina-Beckett, M.D.

• Medical Specialty Clinic/Center in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.