Englewood Dermatology Center
Preferred Provider Organization in Englewood, New Jersey
1588930663- Practice location
- 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398
- Phone
- 201-569-5151
- Fax
- 201-569-9193
- Last updated
- March 22, 2012
Englewood Dermatology Center is a healthcare organization based in Englewood, NJ. Englewood Dermatology Center practices in Englewood, NJ. The NPI Number for Englewood Dermatology Center is 1588930663 and holds a License No. 207N00000X (NJ). The current practice location address for Englewood Dermatology Center is 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398 and can be reached out via phone at 201-569-5151 and via fax at 201-569-9193.
Provider Profile Details
- NPI Number
- 1588930663
- Provider Name
- Englewood Dermatology Center
- Provider Entity Type
- Organization
- Address
- 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398
- Phone Number
- 201-569-5151
- Fax Number
- 201-569-9193
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Lenis Gonzalez, MD · M.d. · 201-569-5151
- Provider Enumeration Date
- March 22, 2012
- Last Update Date
- March 22, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Grand Ave
Suite 201
Englewood, NJ 07631-4398 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-4398
- Phone Number
- 201-569-5151
- Fax Number
- 201-569-9193
Provider Business Mailing Address Details
- Address
- 300 Grand Ave
Suite 201
Englewood, NJ 07631-4398 - City
- Englewood
- State
- NJ
- Zip
- 07631-4398
- Phone Number
- 201-569-5151
- Fax Number
- 201-569-9193
License Information
- License Number
- 207N00000X
- License State
- NJ
- Taxonomy
- Preferred Provider Organization · 305R00000X · 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 Englewood Dermatology Center?
The NPI number of Englewood Dermatology Center is 1588930663. It was assigned on March 22, 2012 and is currently active in the NPPES registry.
What is the specialty of Englewood Dermatology Center?
Englewood Dermatology Center is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 207N00000X.
Where does Englewood Dermatology Center practice?
The practice location is 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398. The office can be reached at 201-569-5151 (phone) or 201-569-9193 (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 1588930663 directly on the NPPES registry website.