Active NPIOrganization

Englewood Dermatology Center

Dermatology in Englewood, New Jersey

NPI Number1811472111
Practice location
300 Grand Ave Ste 201, Englewood, NJ 07631-6300
Fax
201-569-9193
Last updated
October 2, 2018

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 1811472111. The current practice location address for Englewood Dermatology Center is 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 and can be reached out via phone at 201-569-5151 and via fax at 201-569-9193.

Provider Profile Details

NPI Number
1811472111
Provider Name
Englewood Dermatology Center
Provider Entity Type
Organization
Address
300 Grand Ave Ste 201, Englewood, NJ 07631-6300
Phone Number
201-569-5151
Fax Number
201-569-9193
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Mrs. Margaret Tassiello · Business Manager · 201-569-5151
Other Names
Lenis Gonzalez, M.d. (Doing Business As)
Provider Enumeration Date
October 2, 2018
Last Update Date
October 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Grand Ave Ste 201
Englewood, NJ 07631-6300
Zip
07631-6300
Phone Number
201-569-5151
Fax Number
201-569-9193
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
300 Grand Ave Ste 201
Englewood, NJ 07631-6300
City
Englewood
State
NJ
Zip
07631-6300
Phone Number
201-569-5151
Fax Number
201-569-9193

License Information

Taxonomy
Dermatology · 207N00000X · 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 Englewood Dermatology Center?

The NPI number of Englewood Dermatology Center is 1811472111. It was assigned on October 2, 2018 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 Dermatology (code 207N00000X).

Where does Englewood Dermatology Center practice?

The practice location is 300 Grand Ave Ste 201, Englewood, NJ 07631-6300. 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 1811472111 directly on the NPPES registry website.

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