DR. MICHAEL J. DECOSMO (NPI# 1376519645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376519645 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. DECOSMO |
| Credential | D.O. |
| Practice Address |
2201 Chapel Ave W Suite 102 Cherry Hill NJ 08002-2048 |
| Mailing Address |
1 Greenvale Rd Cherry Hill NJ 08034-1703 |
| Practice Telephone | 8566627883 |
| Practice Fax Number | 8566625838 |
| Mailing Telephone | 8566678059 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2010-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MBO25986 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3901408 | 05 |
| Street Address |
2201 CHAPEL AVE W SUITE 102 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108156 | Joseph J. Delaurentis | Radiology | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2005-07-19 |
| 1689207110 | Andrea Bookoff | Dietitian, Registered | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2020-02-12 |
| 1841837168 | Arlene Rose Alinea Dobbins | Family Medicine | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-12-05 |
| 1275177172 | Marla Ikalina | Social Worker | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-11-04 |
| 1578021358 | Rebecca Marie Reit | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-03-11 |
| 1922578095 | Jennifer Patridge | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-11-30 |
| 1598232399 | Edward Kevin Beatty | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-10-30 |
| 1467928341 | Natalie Rae Mannion | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-10-18 |
| 1770067514 | Kristina Sacco | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-09-18 |
| 1417445339 | Gina Marie Mariani | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| 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 |
|---|---|---|---|---|
| 1548436678 | Harvey Glass | Dermatology | 1880 Route 70 East, Cherry Hill, NJ 08003-2029 | 2008-05-08 |
| 1326137936 | Rosalie K Marinari | Dermatology | 211 Barclay Pavilion W, Cherry Hill, NJ 08034-2129 | 2006-10-12 |
| 1538626049 | Nova Dermatology LLC | Dermatology | 455 Route 70 W, Cherry Hill, NJ 08002-3524 | 2019-02-21 |
| 1164871430 | Clinical Health Care Associates of New Jersey, PC | Dermatology | 1865 Marlton Pike E, 2nd Floor Dermatology, Cherry Hill, NJ 08003-2013 | 2016-06-08 |
| 1689972606 | Michael J Decosmo Do Pa | Dermatology | 2201 Chapel Ave West, Suite 102, Cherry Hill, NJ 08002 | 2011-03-01 |
| 1265643357 | Graves Derma Care Center PC | Dermatology | 1020 Kings Hwy N, Suite 101, Cherry Hill, NJ 08034-1906 | 2007-05-24 |
| 1871514927 | Dermatology & Skin Care Associates,p.c. | Dermatology | 200 Kings Hwy S, Cherry Hill, NJ 08034-2506 | 2006-07-22 |
| 1952331407 | Victor G Mellul | Dermatology | 200 Kings Hwy S, Cherry Hill, NJ 08034-2506 | 2006-07-03 |
| 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 | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.