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DERMATOLOGY HEALTH CENTER LLC NPI 1669887543


NPI Information

NPI: 1669887543
Provider Name: DERMATOLOGY HEALTH CENTER, LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 31D2082184

Address:
43 N GILBERT ST
TINTON FALLS, NJ
ZIP 07701
Phone: (732) 245-4290
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DERMATOLOGY HEALTH CENTER, LLC is a nurse practitioner in Tinton Falls, NJ. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DERMATOLOGY HEALTH CENTER, LLC NPI is 1669887543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43 N GILBERT ST
TINTON FALLS, NJ
ZIP 07701-913
Phone: (732) 245-4290

The provider's authorized official is Maria Ann Kolarsick .
The authorized official title is Owner and has the following contact phone number (732) 245-4290.

The CLIA number assigned to this NPI record is 31D2082184 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 6/30/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner26NO06557200NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1062660MEDICARE PINNEW 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: 11/14/2023

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