Individual provider Active NPI

Marc David Glashofer, MD

  • MOHS-Micrographic Surgery Physician
  • West Orange, NJ
National Provider Identifier
1851340418
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25MA07918300 Issued in NJ
Practice address
347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744
Phone
(973) 571-2121
Fax
(973) 498-0569
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 239603 NY
MOHS-Micrographic Surgery Physician 207ND0101X 239603 NY
Procedural Dermatology Physician 207NS0135X 239603 NY
MOHS-Micrographic Surgery Physician 207ND0101X 25MA07918300 NJ Primary

Addresses

Primary practice location

347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744

Mailing address

347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744
Phone (973) 571-2121

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
I20150506000874 NJ Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0648274514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
George Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2745
Phone (973) 571-2121

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision301
Removal of tissue17
Removal of skin lesions346
Removal of skin cancer912
Removal or shaving of skin growth1-10
Skin biopsy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239603NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Dermatology CurrentSince Feb 1, 2022 Accepting new patients
Schweiger Dermatology PLLC Dermatology PastSince Nov 1, 2017 Accepting new patients

Locations

310 Madison Ave
Ste 206
Morristown, NJ 07960

60 Pompton Ave
Verona, NJ 07044
Phone 9735712121113

246 Hamburg Tpke
Ste 306
Wayne, NJ 07470
Phone (973) 956-0500

246 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 653-3366

347 Mount Pleasant Ave
Ste 103
West Orange, NJ 07052

347 Mount Pleasant Ave
Ste 205
West Orange, NJ 07052
Phone (973) 740-0101

Interoperability endpoints

  • Direct secure messaging: marc.glashofer@schweigerderm.emadirect.md

Organizations & group practices 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1851340418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 103",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-571-2121",
            "fax_number": "973-498-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 103",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-571-2121",
            "fax_number": "973-498-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASHOFER",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "239603",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "239603",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "239603",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA07918300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.