ADVANCED DERMATOLOGY OF NEW JERSEY PC NPI 1225362783

NPI Information

  • NPI: 1225362783
  • Provider Name: ADVANCED DERMATOLOGY OF NEW JERSEY PC
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • CLIA Number: 31D2004723
  • Address: 1200 E RIDGEWOOD AVE
    RIDGEWOOD, NJ
    ZIP 07450
  • Phone: (201) 493-1717

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NPI Details

ADVANCED DERMATOLOGY OF NEW JERSEY PC is a procedural dermatology dermatology in Ridgewood, NJ. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). ADVANCED DERMATOLOGY OF NEW JERSEY PC NPI is 1225362783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ
ZIP 07450-957
Phone: (201) 493-1717

The provider's authorized official is Joshua L Fox .
The authorized official title is Medical Director and has the following contact phone number (516) 326-4160.

The CLIA number assigned to this NPI record is 31D2004723 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 9/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology25MA04771900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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