- Practice location
- 51 Park St, Montclair, NJ 07042-3439
- Phone
- 973-509-6900
- Fax
- 973-509-6939
- Last updated
- January 24, 2008
Image Dermatology PC is a healthcare organization based in Montclair, NJ. Image Dermatology PC practices in Montclair, NJ. The NPI Number for Image Dermatology PC is 1104027556 and holds a License No. ma65931 (NJ). The current practice location address for Image Dermatology PC is 51 Park St, Montclair, NJ 07042-3439 and can be reached out via phone at 973-509-6900 and via fax at 973-509-6939.
Provider Profile Details
- NPI Number
- 1104027556
- Provider Name
- Image Dermatology PC
- Provider Entity Type
- Organization
- Address
- 51 Park St, Montclair, NJ 07042-3439
- Phone Number
- 973-509-6900
- Fax Number
- 973-509-6939
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jeanine B. Downie, MD · Owner · 973-509-6900
- Provider Enumeration Date
- May 31, 2007
- Last Update Date
- January 24, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 Park St
Montclair, NJ 07042-3439 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3439
- Phone Number
- 973-509-6900
- Fax Number
- 973-509-6939
Provider Business Mailing Address Details
- Address
- 51 Park St
Montclair, NJ 07042-3439 - City
- Montclair
- State
- NJ
- Zip
- 07042-3439
- Phone Number
- 973-509-6900
- Fax Number
- 973-509-6939
License Information
- License Number
- ma65931
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Montclair, NJ
View all Specialists in Montclair →Frequently Asked Questions
What is the NPI number of Image Dermatology PC?
The NPI number of Image Dermatology PC is 1104027556. It was assigned on May 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Image Dermatology PC?
Image Dermatology PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number ma65931.
Where does Image Dermatology PC practice?
The practice location is 51 Park St, Montclair, NJ 07042-3439. The office can be reached at 973-509-6900 (phone) or 973-509-6939 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104027556 directly on the NPPES registry website.