Active NPI
Ellen Dabela, MD
- Dermatology Physician
- Princeton, NJ
National Provider Identifier
1891051306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA10116400
- Practice address
- 601 Ewing St Ste C3
Princeton, NJ 08540-2756 - Phone
- (609) 222-4702
- Fax
- (609) 297-3760
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 283165 | NY | |
| Dermatology Physician | 207N00000X | A142720 | CA | |
| Dermatology Physician | 207N00000X | 25MA10116400 | NJ | Primary |
Addresses
Primary practice location
601 Ewing St Ste C3
Princeton, NJ 08540-2756
Mailing address
PO Box 588
Kingston, NJ 08528-0588
Phone (609) 222-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142720 | CA | MD | Dermatology Physician |
| 25MA10116400 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Institute of Princeton LLC | Dermatology | Current | Accepting new patients |
Locations
601 Ewing St
Ste C3
Princeton, NJ 08540
Phone (609) 436-5900
Organizations & group practices 1
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.
-
- Dermatology Physician
- Princeton, NJ
- NPI 1063144715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1891051306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 588",
"city": "KINGSTON",
"state": "NJ",
"postal_code": "085280588",
"telephone_number": "609-222-4702",
"fax_number": "609-297-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 EWING ST STE C3",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402756",
"telephone_number": "609-222-4702",
"fax_number": "609-297-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABELA",
"first_name": "ELLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "283165",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A142720",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA10116400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.