Active NPI
MDCS Dermatology and Cosmetic Surgery
- Dermatology Physician
- Englewood, NJ
National Provider Identifier
1922733575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2022
- 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. Snehal P Amin, MD
- Title
- President
- Phone
- (212) 661-3376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450807678 | Other | NJ | ENTITY ID |
National Provider Directory
National Provider DirectoryLocations
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.