Dermatology & Skin Care Associates,P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA04514400 Issued in NJ

Legal business name

DERMATOLOGY & SKIN CARE ASSOCIATES,P.C.

Practice address

200 Kings Hwy S
Cherry Hill, NJ 08034-2506

Phone

(856) 429-9009

Fax

(856) 429-8400

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Victor G Mellul, M.D.NPI 1952331407

Title

Sole Proprietor

Phone

(856) 429-9009

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Victor G Mellul, MD

  • Dermatology Physician
  • Cherry Hill, NJ
  • NPI 1952331407
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1871514927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342506",
            "telephone_number": "856-429-9009",
            "fax_number": "856-429-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342506",
            "telephone_number": "856-429-9009",
            "fax_number": "856-429-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN CARE ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MELLUL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "856-429-9009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04514400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lex Denysenko, M.D.
• Suraj Depani
• Depression Doctors
• Suzanne M. Derenick, OTR/L
• Regina A Derikito, PT
• Barbara T. Derofa-Scott
• Alyssa Derosa, LPC
• Hanna L Dershowitz, OTR/L
• Francis L Derubeis Jr., OTR
• Apurva Desai, DO

• Dermatology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, 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 Jul 8, 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.