Active NPI
Melvin Saul Gruber, MD
- Dermatology Physician
- Turnersville, NJ
National Provider Identifier
1912019332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA02362400
- Practice address
- 900 Route 168
Suite F-6
Turnersville, NJ 08012 - Phone
- (856) 227-7488
- Fax
- (856) 228-3476
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA02362400 | NJ | Primary |
| Dermatology Physician | 207N00000X | MD009679E | PA |
Addresses
Primary practice location
900 Route 168
Suite F-6
Turnersville, NJ 08012
Mailing address
900 Route 168
Suite F-6
Turnersville, NJ 08012
Phone (856) 227-7488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019039C2B | Other | NJ | MEDICARE BILLING NO. |
| 16017 | Other | NJ | AETNA |
| 1145452005 | Other | NJ | CIGNA |
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 |
|---|---|---|---|
| 25MA02362400 | NJ | MD | Dermatology Physician |
| MD009679E | PA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Dermatology Associates, PA | Dermatology | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1912019332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ROUTE 168",
"address_2": "SUITE F-6",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "08012",
"telephone_number": "856-227-7488",
"fax_number": "856-228-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROUTE 168",
"address_2": "SUITE F-6",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "08012",
"telephone_number": "856-227-7488",
"fax_number": "856-228-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "MELVIN",
"middle_name": "SAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA02362400",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD009679E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BILLING NO.",
"identifier": "019039C2B",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "16017",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1145452005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.