DR. MICHAEL P BAGLEY


Address: 122 Mt Bethel Rd Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059
Phone: 9087567999

DR. MICHAEL P BAGLEY (NPI# 1790703486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790703486
Entity Type Individual
Full Name DR. MICHAEL P BAGLEY
Credential MD
Practice Address 122 Mt Bethel Rd Ste 1
Warren Dermatology Assoc LLC
Warren
NJ 07059
Mailing Address 2 Ingram Circle
Aberdeen
NJ 07747
Practice Telephone 9087567999
Practice Fax Number 9087568017
Mailing Telephone 7325833886
Enumeration Date 2006-07-18
Last Update Date 2013-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 25MA04581000 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ GROUP TAX ID 223824190 01

Other Providers MICHAEL BAGLEY

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1396868295 Michael Edward Bagley Counselor 1028 Reno Ave, Modesto, CA 95351-1127 2007-04-08
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Office Location

Street Address 122 MT BETHEL RD STE 1
WARREN DERMATOLOGY ASSOC LLC
City WARREN
State NJ
Zip Code 07059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265449334 Rosaline A Ahkami Dermatology 122 Mt Bethel Rd Ste 1, Warren Dermatology Associates LLC, Warren, NJ 07059 2006-08-02
1770500118 Richard G Lathrop Dermatology 122 Mt Bethel Rd Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059 2006-07-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245680826 Brightview Warren, LLC Alzheimer Center (Dementia Center) 55 Mt. Bethel Road, Warren, NJ 07059 2016-06-15
1245617786 Mt Bethel Day Program LLC Clinic/Center 67 Mountain Blvd, Suite 201, Warren, NJ 07059 2015-05-05
1831509413 Chandana Pande Internal Medicine 34 Moutain Blvd, Warren, NJ 07059 2014-05-05
1740624121 Prakhar Mehrotra Dentist 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 2013-04-29
1558680231 International Healthcare of Nj Specialist 3 Tiffanys Way, Warren, NJ 07059 2010-05-20
1740430495 Danielle Lynnette Neumann Physical Therapist 247 King George Rd, Warren, NJ 07059 2008-09-30
1831358381 Linda Zhang Ophthalmology 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 2008-06-09
1356515597 Tiffany Lynn Scott Pediatrics 76 Stirling Rd., Suite 201, Warren, NJ 07059 2008-04-18
1710011283 Vincent Frederick Colon Psychiatry & Neurology 161 Washington Valley Road, Suite #206, Warren, NJ 07059 2007-03-15
1972666089 Kwei Ping Shen Kwei Dentist 108 Mt Bethel Rd, Warren, NJ 07059 2006-12-19
Find all providers in zip 07059

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144483116 Rebecca Y. Lu Dermatology 7 Mount Bethel Rd, Suite C, Warren, NJ 07059-2636 2008-07-09
1033379961 Melissa Woods Bouffard Dermatology 122 Mount Bethel Rd Ste 1, Warren, NJ 07059-5127 2008-06-13
1518006865 George Daniel Reilly Dermatology 31 Q Mountain Boulevard, Warren, NJ 07059-5648 2007-02-05
1619069549 Wendy W Lambert Dermatology 13450 E 12 Mile Road, Warren, MI 48088-3671 2006-09-28
1730102666 Warren Dermatology Associates LLC Dermatology 122 Mount Bethel Rd, Suite 1, Warren, NJ 07059-5127 2006-07-25
1790714442 Amy Beth Cardellio Dermatology 30950 Campbell St, Warren, MI 48093-6505 2006-07-02
1407836877 Steven Kenneth Grekin Dermatology 13450 E 12 Mile Rd, Warren, MI 48088-3671 2006-01-20
1417943796 Indira Krishnarao Dermatology 735 Niles Cortland Rd Se, Warren, OH 44484-2475 2005-09-22
1194720276 Stuart R Gildenberg Dermatology 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 2005-06-16
1033591813 Warren Dermatology and Mohs Surgery LLC Dermatology 735 Niles Cortland Rd Se, Warren, OH 44484-2475 2015-06-29
Find all providers in WARREN

Competitor

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City WARREN
Zip Code 07059

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Dataset Information

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.

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