ENGLEWOOD DERMATOLOGY CENTER


Address: 300 Grand Ave Ste 201, Englewood, NJ 07631-6300
Phone: 2015695151

ENGLEWOOD DERMATOLOGY CENTER (NPI# 1811472111) 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) 1811472111
Entity Type Organization
Organization Name ENGLEWOOD DERMATOLOGY CENTER
Practice Address 300 Grand Ave Ste 201
Englewood
NJ 07631-6300
Practice Telephone 2015695151
Practice Fax Number 2015699193
Mailing Telephone 2015695151
Mailing Fax Number 2015699193
Enumeration Date 2018-10-02
Last Update Date 2018-10-02
Authorized Official Name MRS. MARGARET TASSIELLO (BUSINESS MANAGER)
Authorized Official Telephone 2015695151
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Lenis Gonzalez, M.D. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588930663 Englewood Dermatology Center Preferred Provider Organization 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398 2012-03-22

Office Location

Street Address 300 GRAND AVE STE 201
City ENGLEWOOD
State NJ
Zip Code 07631-6300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558315309 Brian Anthony Cole Orthopaedic Surgery 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 2006-05-19
1649877887 Meghan E Snavely Physician Assistant 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 2020-10-01
1992353478 Englewood Spine Associates LLC Orthopaedic Surgery 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 2019-08-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447868922 Sharmela Brijmohan Student in an Organized Health Care Education/Training Program 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 2020-07-21
1902422553 Ross Tyrone Jensen Lavine Student in an Organized Health Care Education/Training Program 350 Engle Street, Department of Medicine, Englewood, NJ 07631 2020-06-19
1881235497 Cbt and Psychodynamic Therapy Associates LLC Social Worker 245 Walnut Street, Englewood, NJ 07631 2019-10-04
1346895950 Eb Care At Englewood, LLC Assisted Living Facility 412 South Van Brunt Street, Englewood, NJ 07631 2019-08-09
1730695727 Maytal Elart Spec/Tech, Cardiovascular 151 E Palisades Ave, 16e, Englewood, NJ 07631 2017-12-28
1396259255 Elizabeth Thottumalil Thomas Counselor 93 West Palisade Ave, Englewood, NJ 07631 2017-11-29
1992214381 Englewood Orthopedics Group PC Orthopaedic Surgery 55 Smith St Unit 5653, Englewood, NJ 07631 2017-09-28
1639691579 Jee Hoon Jang Student in an Organized Health Care Education/Training Program 350 Engle St., Englewood, NJ 07631 2017-07-12
1427570332 Dan Ran Castillo Student in an Organized Health Care Education/Training Program 350 Engel Street, Engelwood, NJ 07631 2017-07-12
1275061392 Thomas J Drexler Counselor 93 W. Palisades Ave, Englewood, NJ 07631 2017-06-02
Find all providers in zip 07631

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
1326521576 Kaitlyn Laurel Pell Dermatology 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 2018-09-13
1417357922 Premier Dermatology, LLC Dermatology 900 Pine Street 122 / 123, Englewood, FL 34233-0000 2014-09-03
1558623496 Annelise Lorelei Dawson Dermatology 499 E Hampden Ave Ste 390, Englewood, CO 80113 2012-06-15
1093819369 Kimberly C Stone Dermatology 3701 S Clarkson St, Ste 300, Englewood, CO 80113-3960 2006-09-08
1063493898 Chang Bae Son Dermatology 200 Grand Ave 201, Englewood, NJ 07631-4363 2005-11-09
1134691058 Dawson Dermatology Group Pllc Dermatology 499 E Hampden Ave Ste 390, Englewood, CO 80113-2780 2018-12-18
1104274919 Forefront Dermatology, S.c. Dermatology 5 W Wenger Rd, Englewood, OH 45322 2016-06-02
1922341783 Jisun Cha Md Dermatology 460 Sylvan Ave, Englewood, NJ 07632-2919 2013-03-30
1497010250 Tanya Nicole Riddle Dermatology 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 2012-07-09
1558620385 Michelle Pennie Md LLC Dermatology 900 Pine St, Ste 122-123, Englewood, FL 34223-4418 2012-05-14
Find all providers in ENGLEWOOD

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City ENGLEWOOD
Zip Code 07631

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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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