NPIMap

Organization Active NPI

North Jersey Dermatology Center,P.C.

Doing business as South Jersey Dermatology Center

  • MOHS-Micrographic Surgery Physician
  • Toms River, NJ
National Provider Identifier
1861520090
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MA051828 Issued in NJ
Legal business name
NORTH JERSEY DERMATOLOGY CENTER,P.C.
Doing business as
South Jersey Dermatology Center
Practice address
601 Route 37 W
Suite 105
Toms River, NJ 08755-8050
Phone
(973) 586-7447
Fax
(973) 586-7445
NPI assigned
Mar 1, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH JERSEY DERMATOLOGY CENTER , P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Joseph M Masessa, M.D.
Title
President
Phone
(973) 586-7447

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA051828 NJ
MOHS-Micrographic Surgery Physician 207ND0101X MA051828 NJ Primary
Dermatopathology Physician 207ND0900X MA051828 NJ
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MA051828 NJ
Pediatric Dermatology Physician 207NP0225X MA051828 NJ
Procedural Dermatology Physician 207NS0135X MA051828 NJ

Addresses

Primary practice location

601 Route 37 W
Suite 105
Toms River, NJ 08755-8050

Mailing address

35 Green Pond Rd
Rockaway, NJ 07866-2013
Phone (973) 586-7447

Other names 1

  • South Jersey Dermatology Center Doing business as

National Provider Directory

National Provider Directory
Part of
North Jersey Dermatology

Locations

655 Kearny Ave
Ste 103
Kearny, NJ 07032
Phone (201) 428-1938

35 Green Pond Rd
#6341
Rockaway, NJ 07866

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1861520090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662013",
            "telephone_number": "973-586-7447",
            "fax_number": "973-586-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROUTE 37 W",
            "address_2": "SUITE 105",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "973-586-7447",
            "fax_number": "973-586-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY DERMATOLOGY CENTER,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH JERSEY DERMATOLOGY CENTER , P.C.",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "MASESSA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-586-7447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA051828",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "MA051828",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "MA051828",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NJ",
            "license": "MA051828",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NJ",
            "license": "MA051828",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "MA051828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jersey Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.