GAIL HOLLY MAUTNER (NPI# 1053353680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053353680 |
| Entity Type | Individual |
| Full Name | GAIL HOLLY MAUTNER |
| Credential | MD |
| Practice Address |
12 East Willow Street Millburn NJ 07041 |
| Practice Telephone | 9733768500 |
| Practice Fax Number | 9733761820 |
| Mailing Telephone | 9733768500 |
| Mailing Fax Number | 9733761820 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA06220100 | NJ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MA62201 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
12 EAST WILLOW STREET |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275578262 | Eric Scott Siegel | Dermatology | 12 East Willow Street, Millburn, NJ 07041-1417 | 2006-06-17 |
| 1871535435 | Allyson Stacy Brockman-bitterman | Dermatology | 12 East Willow Street, Millburn, NJ 07041 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457665838 | Soma Skin & Laser, LLC | Dermatology | 90 Millburn Ave, Suite 206, Millburn, NJ 07041-1945 | 2010-07-28 |
| 1336345461 | Jeanine Daly | Dermatology | 12 E Willow St, Millburn, NJ 07041-1417 | 2007-06-25 |
| 1124249644 | Michael Ehrenreich | Dermatology | 90 Millburn Ave, Suite 206, Millburn, NJ 07041-1945 | 2007-05-01 |
| 1487770905 | Associates In Dermatology and Cosmetic Surgery-the Millburn Laser Cent | Dermatology | 12 E Willow St, Millburn, NJ 07041-1417 | 2007-03-22 |
| 1376696997 | George Kihiczak | Dermatology | 116 Millburn Ave, Suite 111, Millburn, NJ 07041-1943 | 2007-01-18 |
| 1275578262 | Eric Scott Siegel | Dermatology | 12 East Willow Street, Millburn, NJ 07041-1417 | 2006-06-17 |
| 1871535435 | Allyson Stacy Brockman-bitterman | Dermatology | 12 East Willow Street, Millburn, NJ 07041 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649716 | Danowski Dermatology | Dermatology | 525 Route 73 N Ste 305a, Marlton, NJ 08053-3422 | 2020-11-03 |
| 1508477399 | Consonant Healing Medical Associates of Nj LLC | Dermatology | 100 Challenger Rd # 205, Ridgefield Park, NJ 07660-2108 | 2020-08-13 |
| 1659900884 | Dermatology and Skin Care Center | Dermatology | 2301 E Evesham Rd Ste 102-103, Voorhees, NJ 08043-4501 | 2020-04-08 |
| 1467091983 | Aura Dermatology At Somerset LLC | Dermatology | 75 Veronica Ave Ste 205, Somerset, NJ 08873-5002 | 2020-01-01 |
| 1578025920 | Aura Dermatology At Robbinsville LLC | Dermatology | 17 Main St Ste 304, Robbinsville, NJ 08691-1436 | 2019-04-04 |
| 1144786740 | Swetha Kandula Md LLC | Dermatology | 3695 Hill Rd Ste 2b, Parsippany, NJ 07054-1047 | 2019-02-19 |
| 1477031318 | Wellness Dermatology LLC | Dermatology | 638 Lawrenceville Rd, Lawrenceville, NJ 08648-4208 | 2018-08-02 |
| 1871000323 | Julianna Nicole Jarvis | Dermatology | 100 Brick Rd Ste 306, Marlton, NJ 08053-2146 | 2018-01-05 |
| 1487169702 | Nj Certified Dermatology PC | Dermatology | 670 Broadway, Bayonne, NJ 07002-4726 | 2017-12-08 |
| 1407374796 | Geria Dermatology, LLC | Dermatology | 75 Orient Way Ste 204, Rutherford, NJ 07070-2086 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.