The Dermatology Group

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE DERMATOLOGY GROUP

Practice address

347 Mount Pleasant Ave
Suite 103
West Orange, NJ 07052-2744

Phone

(973) 571-2121

Fax

(973) 239-1591

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel S Groisser, MD

Title

Physician Administrator

Phone

(973) 571-2121

Specialties & licenses 4

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• TDG Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
  • NPI 1245585256
  NPPES parent name

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalia Marie Aliotta, PA

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1982588299
  NPD
• Lisa Endanattu, FNP-BC

  • Family Nurse Practitioner
  • Nutley, NJ
  • NPI 1639894793
  NPD
• Jennifer Goldberg, PA

  • Physician Assistant
  • Montclair, NJ
  • NPI 1235149774
  NPD
• Simone D Noble, PA

  • Physician Assistant
  • Vineland, NJ
  • NPI 1659512093
  NPD
• Purvi Patel, PA

  • Physician Assistant
  • Woodbury, NJ
  • NPI 1366777641
  NPD
• Angela M Ryerson, PA

  • Dermatology Physician
  • Nutley, NJ
  • NPI 1508636432

  Single Specialty

  NPD
• Melissa Sabari, PA

  • Physician Assistant
  • Riverdale, NJ
  • NPI 1184346835
  NPD
• Jennifer L Sala, PA

  • Physician Assistant
  • Morristown, NJ
  • NPI 1194253237
  NPD
• Melissa Ann Smirnow, PA-C

  • Physician Assistant
  • West Orange, NJ
  • NPI 1790037042
  NPD
• Bhoomi D Thakkar, PA-C

  • Physician Assistant
  • Nutley, NJ
  • NPI 1063970085
  NPD
• Samantha Vail, PA-C

  • Physician Assistant
  • Riverdale, NJ
  • NPI 1386472702
  NPD
• Smita Agarwal, MD

  • Dermatology Physician
  • Bridgewater, NJ
  • NPI 1982675633
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1962428474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-571-2121",
            "fax_number": "973-239-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 103",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-571-2121",
            "fax_number": "973-239-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "GROISSER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "973-571-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in West Orange, NJ
• Providers in West Orange, 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 Jan 7, 2011; 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.