Organization Active NPI

MDCS Dermatology and Cosmetic Surgery

  • Dermatology Physician
  • Englewood, NJ
National Provider Identifier
1922733575
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MDCS DERMATOLOGY AND COSMETIC SURGERY
Practice address
401 S Van Brunt St Ste 403
Englewood, NJ 07631-4635
Phone
(212) 661-3376
Fax
(212) 661-3366
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Dr. Snehal P Amin, MD
Title
President
Phone
(212) 661-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

401 S Van Brunt St Ste 403
Englewood, NJ 07631-4635

Mailing address

820 2ND Ave RM 3a
New York, NY 10017-4534
Phone (212) 661-3376

Other identifiers 1

IdentifierTypeStateIssuer
0450807678OtherNJENTITY ID

National Provider Directory

National Provider Directory

Locations

1033 Clifton Ave
Ste 201
Clifton, NJ 07013
Phone (973) 777-6444

820 2nd Ave
Rm 3A
New York, NY 10017
Phone (212) 661-3376

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1922733575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE RM 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174534",
            "telephone_number": "212-661-3376",
            "fax_number": "212-661-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST STE 403",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314635",
            "telephone_number": "212-661-3376",
            "fax_number": "212-661-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCS DERMATOLOGY AND COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-661-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY ID",
            "identifier": "0450807678",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.