Active NPIIndividual providerSole proprietor

Dr. Adrian L Connolly III, MD

Dermatology in West Orange, New Jersey

NPI Number1922001650
Practice location
101 Old Short Hills RD, Ste 503, West Orange, NJ 07052-1023
Fax
973-731-9201
Last updated
October 1, 2024

Adrian L Connolly is a Dermatology based in West Orange, NJ. Adrian L Connolly practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Adrian L Connolly is 1922001650 and holds a License No. MA036148 (NJ). The current practice location address for Adrian L Connolly is 101 Old Short Hills RD, Ste 503, West Orange, NJ 07052-1023 and can be reached out via phone at 973-731-9131 and via fax at 973-731-9201.

Provider Profile Details

NPI Number
1922001650
Provider Name
Adrian L Connolly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Old Short Hills RD, Ste 503, West Orange, NJ 07052-1023
Phone Number
973-731-9131
Fax Number
973-731-9201
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 27, 2005
Last Update Date
October 1, 2024
Certification Date
October 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Old Short Hills RD
Ste 503
West Orange, NJ 07052-1023
Zip
07052-1023
Phone Number
973-731-9131
Fax Number
973-731-9201
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
201 S Livingston Ave Ste 1C
Livingston, NJ 07039-4040
City
Livingston
State
NJ
Zip
07039-4040
Phone Number
908-509-1938
Fax Number
856-543-9095

License Information

License Number (1)
MA036148
License State (1)
NJ
Taxonomy (1)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
License Number (2)
MA036148
License State (2)
NJ
Taxonomy (2)
Dermatology, Procedural Dermatology · 207NS0135X
License Number (3)
MA036148
License State (3)
NJ
Taxonomy (3)
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 Dr. Adrian L Connolly III, MD?

The NPI number of Dr. Adrian L Connolly III, MD is 1922001650. It was assigned on May 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Adrian L Connolly III, MD?

Dr. Adrian L Connolly III, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number MA036148.

Where does Dr. Adrian L Connolly III, MD practice?

The practice location is 101 Old Short Hills RD, Ste 503, West Orange, NJ 07052-1023. The office can be reached at 973-731-9131 (phone) or 973-731-9201 (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 1922001650 directly on the NPPES registry website.

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