Active NPI
Advanced Dermatology Associates, P.a.
- Dermatology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ADVANCED DERMATOLOGY ASSOCIATES, P.A.
- Practice address
- 101 Old Short Hills Rd Ste 205
West Orange, NJ 07052-1093 - Phone
- (973) 243-2300
- Fax
- (973) 243-2400
- NPI assigned
- Feb 20, 2007
- Last updated
- Nov 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cheryl Citron, MD
- Title
- Owner
- Phone
- (972) 535-3200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
101 Old Short Hills Rd Ste 205
West Orange, NJ 07052-1093
Mailing address
315 E Northfield Rd
2A
Livingston, NJ 07039-4896
Phone (973) 535-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2331069 | Advanced Dermatology Associates | Registration | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
1907 Wayzata Blvd
Ste 350
Wayzata, MN 55391
Phone (952) 989-1600
101 Old Short Hills Rd
Ste 205
West Orange, NJ 07052
Phone (973) 243-2300
Practitioners & affiliated clinicians
Practitioners 13
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.
-
- Procedural Dermatology Physician
- Livingston, NJ
- NPI 1235168386
-
- Dermatology Physician
- Morristown, NJ
- NPI 1235634767
-
- Physician Assistant
- Belleville, NJ
- NPI 1922649318
-
- Dermatology Physician
- Tyler, TX
- NPI 1134159627
-
- Dermatology Physician
- New York, NY
- NPI 1881873891
-
- Dermatology Physician
- New Haven, CT
- NPI 1912318304
-
- Nurse Practitioner
- Burnsville, MN
- NPI 1225662174
-
- Dermatology Physician
- Saint Paul, MN
- NPI 1912904970
-
- Dermatology Physician
- Minneapolis, MN
- NPI 1063731065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1871638940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E NORTHFIELD RD",
"address_2": "2A",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394896",
"telephone_number": "973-535-3200",
"fax_number": "973-535-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD STE 205",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521093",
"telephone_number": "973-243-2300",
"fax_number": "973-243-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DERMATOLOGY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "CITRON",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-535-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
- Omotayo Adeniyi, PHD
- Olugbenga Adesokan
- Adjust Chiropractic Health Center
- Adrian L. Connolly MD LLC
- Advance Medicine of West Essex PA
- Advanced Gastroenterology, PA
- Advanced Orthopaedic & Joint Replacement Center PA
- Advanced Urologic Care Associates, P.C.
- Advanced Wellness Center of Essex County, P.C.
- Sonoo Kishu Advani, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.