Madison Avenue Dermatology, LLC
Specialist in Hoboken, New Jersey
1518015379- Practice location
- 133 Madison St, Unit 1 A, Hoboken, NJ 07030-7831
- Phone
- 201-795-0021
- Fax
- 201-795-0020
- Last updated
- August 22, 2020
Madison Avenue Dermatology, LLC is a healthcare organization based in Hoboken, NJ. Madison Avenue Dermatology, LLC practices in Hoboken, NJ. The NPI Number for Madison Avenue Dermatology, LLC is 1518015379 and holds a License No. 25MA06923300 (NJ). The current practice location address for Madison Avenue Dermatology, LLC is 133 Madison St, Unit 1 A, Hoboken, NJ 07030-7831 and can be reached out via phone at 201-795-0021 and via fax at 201-795-0020.
Provider Profile Details
- NPI Number
- 1518015379
- Provider Name
- Madison Avenue Dermatology, LLC
- Provider Entity Type
- Organization
- Address
- 133 Madison St, Unit 1 A, Hoboken, NJ 07030-7831
- Phone Number
- 201-795-0021
- Fax Number
- 201-795-0020
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dina Marie Began, MD · President · 201-795-0021
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Madison St
Unit 1 A
Hoboken, NJ 07030-7831 - City
- Hoboken
- State
- New Jersey
- Zip
- 07030-7831
- Phone Number
- 201-795-0021
- Fax Number
- 201-795-0020
Provider Business Mailing Address Details
- Address
- 133 Madison St
Unit 1 A
Hoboken, NJ 07030-7831 - City
- Hoboken
- State
- NJ
- Zip
- 07030-7831
- Phone Number
- 201-795-0021
- Fax Number
- 201-795-0020
License Information
- License Number
- 25MA06923300
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Madison Avenue Dermatology, LLC?
The NPI number of Madison Avenue Dermatology, LLC is 1518015379. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Madison Avenue Dermatology, LLC?
Madison Avenue Dermatology, LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06923300.
Where does Madison Avenue Dermatology, LLC practice?
The practice location is 133 Madison St, Unit 1 A, Hoboken, NJ 07030-7831. The office can be reached at 201-795-0021 (phone) or 201-795-0020 (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 1518015379 directly on the NPPES registry website.