Active NPIOrganization

Belleville Dermatology Center

Specialist in Belleville, New Jersey

NPI Number1700921269
Practice location
36 Newark Ave, Suite 214, Belleville, NJ 07109-4119
Fax
973-450-9395
Last updated
December 1, 2011

Belleville Dermatology Center is a healthcare organization based in Belleville, NJ. Belleville Dermatology Center practices in Belleville, NJ. The NPI Number for Belleville Dermatology Center is 1700921269 and holds a License No. 25MA03902100 (NJ). The current practice location address for Belleville Dermatology Center is 36 Newark Ave, Suite 214, Belleville, NJ 07109-4119 and can be reached out via phone at 973-751-1200 and via fax at 973-450-9395.

Provider Profile Details

NPI Number
1700921269
Provider Name
Belleville Dermatology Center
Provider Entity Type
Organization
Address
36 Newark Ave, Suite 214, Belleville, NJ 07109-4119
Phone Number
973-751-1200
Fax Number
973-450-9395
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Joseph Sheldon Eastern, MD · C.e.o. · 973-751-1200
Provider Enumeration Date
February 21, 2007
Last Update Date
December 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Newark Ave
Suite 214
Belleville, NJ 07109-4119
Zip
07109-4119
Phone Number
973-751-1200
Fax Number
973-450-9395
Belleville, NJ 07109Get directions →

Provider Business Mailing Address Details

Address
36 Newark Ave
Suite 214
Belleville, NJ 07109-4119
City
Belleville
State
NJ
Zip
07109-4119
Phone Number
973-751-1200
Fax Number
973-450-9395

License Information

License Number
25MA03902100
License State
NJ
Taxonomy
Specialist · 174400000X · 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 Belleville Dermatology Center?

The NPI number of Belleville Dermatology Center is 1700921269. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Belleville Dermatology Center?

Belleville Dermatology Center is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA03902100.

Where does Belleville Dermatology Center practice?

The practice location is 36 Newark Ave, Suite 214, Belleville, NJ 07109-4119. The office can be reached at 973-751-1200 (phone) or 973-450-9395 (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 1700921269 directly on the NPPES registry website.

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