DR. ANDREA TINUOLA KASSIM (NPI# 1689802647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689802647 |
| Entity Type | Individual |
| Full Name | DR. ANDREA TINUOLA KASSIM |
| Credential | M.D. |
| Practice Address |
347 Mount Pleasant Ave Suite 205 West Orange NJ 07052-2744 |
| Practice Telephone | 9735712121 |
| Mailing Telephone | 9735712121 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA09182700 | NJ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 266015 | NY | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 125057163 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
347 MOUNT PLEASANT AVE SUITE 205 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749321 | Lewis Peter Stolman | Dermatology | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2005-06-08 |
| 1548619448 | Brianna Guttuso | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2016-06-10 |
| 1194180349 | Michelle Itidiare | Nurse Practitioner | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 | 2015-12-15 |
| 1962885301 | Miriam Fox | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2015-07-02 |
| 1962883355 | Tutela Plastic Surgery Pa | Plastic Surgery | 347 Mount Pleasant Ave, Suite 101, West Orange, NJ 07052-2744 | 2015-06-11 |
| 1083024426 | Michele Colon | Nurse Practitioner | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2014-05-07 |
| 1962812842 | Tutela Plastic Surgery Pa | Surgery | 347 Mount Pleasant Ave, Suite #101, West Orange, NJ 07052-2744 | 2014-05-01 |
| 1124456561 | Garland Lee | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2013-10-22 |
| 1104250307 | Sujelis Perez | Physician Assistant | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2744 | 2013-08-25 |
| 1790037042 | Melissa Ann Smirnow | Physician Assistant | 347 Mount Pleasant Ave, Unit 103, West Orange, NJ 07052 | 2012-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| 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 |
|---|---|---|---|---|
| 1417191917 | Mahir Patel | Dermatology | 347 Mount Pleasant Ave Ste 103, West Orange, NJ 07052-2745 | 2009-04-28 |
| 1497868517 | Susan Beth Hirsch | Dermatology | 347 Mount Pleasant Ave Ste 205, The Dermatology Group, PC, West Orange, NJ 07052-2749 | 2006-08-15 |
| 1205810942 | Nathan Dorman | Dermatology | 743 Northfield Ave, West Orange, NJ 07052-1107 | 2005-12-06 |
| 1396749321 | Lewis Peter Stolman | Dermatology | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2005-06-08 |
| 1922001650 | Adrian L Connolly IIi | Dermatology | 101 Old Short Hills Rd, Ste 503, West Orange, NJ 07052-1023 | 2005-05-27 |
| 1770098261 | Corium Ventures Pllc | Dermatology | 2801 Macarthur Dr, West Orange, TX 77630-4703 | 2017-12-06 |
| 1710378690 | Charles Elias | Dermatology | 347 Mount Pleasant Ave Ste 103, West Orange, NJ 07052-2745 | 2015-02-12 |
| 1104229392 | Schweiger Dermatology, PC | Dermatology | 92 Old Northfield Rd, Suite 2, West Orange, NJ 07052-5354 | 2014-10-01 |
| 1801116389 | Karen Lynn Connolly | Dermatology | 101 Old Short Hills Rd, Suite 503, West Orange, NJ 07052-1000 | 2010-06-07 |
| 1679706139 | Annie M Mulvaney | Dermatology | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052 | 2009-09-01 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.