N J DERMATOPATHOLOGY NPI 1275606998

NPI Information

  • NPI: 1275606998
  • Provider Name: N J DERMATOPATHOLOGY
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 769 NORTHFIELD AVE STE LL30
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 669-0141

Map and Directions

Get Directions

NPI Details

N J DERMATOPATHOLOGY is a dermatopathology dermatology in West Orange, NJ. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. N J DERMATOPATHOLOGY NPI is 1275606998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

769 NORTHFIELD AVE STE LL30
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 669-0141
Fax: (973) 669-8220

The provider's authorized official is Jerry Rothenberg .
The authorized official title is Medical Director and has the following contact phone number (973) 669-0141.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 3/30/2010.

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
1207ND0900XDermatologyDermatopathology25MA03949600.NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11220021085OTHERNEW JERSEYRR MEDICARE
2304077MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
33300609MEDICAIDNEW JERSEY

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI