Active NPIOrganization

Dermatology Associates Of South Jersey, L.l.c.

Dermatology, Dermatopathology in Mount Laurel, New Jersey

NPI Number1699960096
Practice location
150 Century Pkwy Ste 150, Mount Laurel, NJ 08054-1129
Fax
856-206-0209
Last updated
December 4, 2020

Dermatology Associates Of South Jersey, L.l.c. is a healthcare organization based in Mount Laurel, NJ. Dermatology Associates Of South Jersey, L.l.c. practices in Mount Laurel, NJ. The NPI Number for Dermatology Associates Of South Jersey, L.l.c. is 1699960096 and holds a License No. 25MA07815500 (NJ). The current practice location address for Dermatology Associates Of South Jersey, L.l.c. is 150 Century Pkwy Ste 150, Mount Laurel, NJ 08054-1129 and can be reached out via phone at 856-206-0201 and via fax at 856-206-0209.

Provider Profile Details

NPI Number
1699960096
Provider Name
Dermatology Associates Of South Jersey, L.l.c.
Provider Entity Type
Organization
Address
150 Century Pkwy Ste 150, Mount Laurel, NJ 08054-1129
Phone Number
856-206-0201
Fax Number
856-206-0209
Primary Taxonomy
Dermatology, Dermatopathology · 207ND0900X
Organization Subpart
No
Authorized Official
Dr. Carrie Ann Rishko Cusack, MD · Physician/Owner · 856-206-0201
Provider Enumeration Date
September 9, 2007
Last Update Date
December 4, 2020
Certification Date
December 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Century Pkwy Ste 150
Mount Laurel, NJ 08054-1129
Zip
08054-1129
Phone Number
856-206-0201
Fax Number
856-206-0209
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
150 Century Pkwy Ste 105
Mount Laurel, NJ 08054-1129
City
Mount Laurel
State
NJ
Zip
08054-1129
Phone Number
856-206-0201
Fax Number
856-206-0209

License Information

License Number
25MA07815500
License State
NJ
Taxonomy
Dermatology, Dermatopathology · 207ND0900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dermatology Associates Of South Jersey, L.l.c.?

The NPI number of Dermatology Associates Of South Jersey, L.l.c. is 1699960096. It was assigned on September 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Dermatology Associates Of South Jersey, L.l.c.?

Dermatology Associates Of South Jersey, L.l.c. is registered under the primary taxonomy Dermatology, Dermatopathology (code 207ND0900X), licensed in NJ under license number 25MA07815500.

Where does Dermatology Associates Of South Jersey, L.l.c. practice?

The practice location is 150 Century Pkwy Ste 150, Mount Laurel, NJ 08054-1129. The office can be reached at 856-206-0201 (phone) or 856-206-0209 (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 1699960096 directly on the NPPES registry website.

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