Dr. Michele Grodberg, MD
Dermatology in Englewood, New Jersey
1225047038- Practice location
- 106 Grand Ave, Englewood, NJ 07631-3574
- Phone
- 201-567-8884
- Fax
- 201-567-5799
- Last updated
- July 8, 2007
Michele Grodberg is a Dermatology based in Englewood, NJ. Michele Grodberg practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Michele Grodberg is 1225047038 and holds a License No. 25MA05620200 (NJ). The current practice location address for Michele Grodberg is 106 Grand Ave, Englewood, NJ 07631-3574 and can be reached out via phone at 201-567-8884 and via fax at 201-567-5799.
Provider Profile Details
- NPI Number
- 1225047038
- Provider Name
- Michele Grodberg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 106 Grand Ave, Englewood, NJ 07631-3574
- Phone Number
- 201-567-8884
- Fax Number
- 201-567-5799
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106 Grand Ave
Englewood, NJ 07631-3574 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-3574
- Phone Number
- 201-567-8884
- Fax Number
- 201-567-5799
Provider Business Mailing Address Details
- Address
- 106 Grand Ave
Englewood, NJ 07631-3574 - City
- Englewood
- State
- NJ
- Zip
- 07631-3574
- Phone Number
- 201-567-8884
- Fax Number
- 201-567-5799
License Information
- License Number
- 25MA05620200
- License State
- NJ
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Englewood, NJ
View all Dermatology providers in Englewood →- Contemporary & Cosmetic Dermatology, P.c.Dermatology · NPI 1194734921
- Dr. Chang B Son, MDDermatology · NPI 1063493898
- Dr. Herbert S Feinberg, MDDermatology · NPI 1407968910
- Dr. Ilyse S Lefkowicz, MDDermatology · NPI 1164432043
- Englewood Dermatology CenterDermatology · NPI 1811472111
- Jisun Cha MDDermatology · NPI 1922341783
Frequently Asked Questions
What is the NPI number of Dr. Michele Grodberg, MD?
The NPI number of Dr. Michele Grodberg, MD is 1225047038. It was assigned on August 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Michele Grodberg, MD?
Dr. Michele Grodberg, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MA05620200.
Where does Dr. Michele Grodberg, MD practice?
The practice location is 106 Grand Ave, Englewood, NJ 07631-3574. The office can be reached at 201-567-8884 (phone) or 201-567-5799 (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 1225047038 directly on the NPPES registry website.