WELLNESS DERMATOLOGY LLC (NPI# 1477031318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477031318 |
| Entity Type | Organization |
| Organization Name | WELLNESS DERMATOLOGY LLC |
| Practice Address |
638 Lawrenceville Rd Lawrenceville NJ 08648-4208 |
| Practice Telephone | 6093377643 |
| Practice Fax Number | 6093377648 |
| Mailing Telephone | 6093377643 |
| Mailing Fax Number | 6093377648 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | DR. ERINE ALLISON KUPETSKY (OWNER, MEMBER) |
| Authorized Official Telephone | 6099473786 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
638 LAWRENCEVILLE RD |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| 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 |
|---|---|---|---|---|
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1740600048 | Kenyatta Mireku | Dermatology | 771 Old Norcross Rd Ste 260, Lawrenceville, GA 30046-4981 | 2014-04-24 |
| 1770586430 | Steven L Hubert | Dermatology | 74 Franklin Corner Rd, Lawrenceville, NJ 08648-2102 | 2005-05-24 |
| 1710401203 | Leah Celia Kincaid | Dermatology | 3311 Brunswick Pike, Lawrenceville, NJ 08648-2411 | 2017-07-27 |
| 1780062661 | Kehinde Oladunni Raji | Dermatology | 771 Old Norcross Rd Ste 260, Lawrenceville, GA 30046-4981 | 2015-05-12 |
| 1437437837 | Southern Dermatology PC | Dermatology | 1805 Herrington Rd, Building 3, Suite A, Lawrenceville, GA 30043-7987 | 2011-08-02 |
| 1063736833 | David Elliot Roffwarg | Dermatology | 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046-4386 | 2010-03-22 |
| 1740424035 | Lusia S Yi | Dermatology | 3311 Brunswick Pike, Lawrenceville, NJ 08648-2411 | 2009-04-30 |
| 1639325194 | Jodi D Langer-kaufmann | Dermatology | 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046-4386 | 2008-08-14 |
| 1154483139 | North Georgia Dermatology, P.C. | Dermatology | 771 Old Norcross Rd, Suite 260, Lawrenceville, GA 30046-4386 | 2006-12-15 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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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.