Dermatology Associates of New Jersey

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF NEW JERSEY

Practice address

40 Throckmorton LN
Old Bridge, NJ 08857-2576

Phone

(732) 679-0222

NPI assigned

Dec 1, 2014

Last updated

Feb 19, 2015By 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

Susan Guerra, N.P.

Title

Practitioner

Phone

(918) 492-6333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stephen Edward Mahoney, M.D.

  • Specialist
  • Houston, TX
  • NPI 1295743490
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1881091296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572576",
            "telephone_number": "732-679-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572576",
            "telephone_number": "732-679-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "918-492-6333",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Demos
• Preethi Reddy Dendi, MD
• Rachel Denney
• Dental Sleep Solutions PA
• Dermatology Associates of Central New Jersey, PA
• Raj Bahadur Dhakhwa, M.D.
• Inna Dijour, DDS
• Nora E Dillard, DDS
• John Dimarhos, PT
• Justin Shane Dinowitz, DMD

• Dermatology Physician in Old Bridge, NJ
• Providers in Old Bridge, 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 Feb 19, 2015; 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.