GARDEN STATE DERMATOLOGY LLC NPI 1811305444

NPI Information

  • NPI: 1811305444
  • Provider Name: GARDEN STATE DERMATOLOGY LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 201 NEW JERSEY 17
    FLOOR 11
    RUTHERFORD, NJ
    ZIP 07070
  • Phone: (617) 314-6567

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NPI Details

GARDEN STATE DERMATOLOGY LLC is a medical specialty clinic center in Rutherford, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GARDEN STATE DERMATOLOGY LLC NPI is 1811305444. The provider is registered as an organization entity type.

The provider's business location address is:

201 NEW JERSEY 17
FLOOR 11
RUTHERFORD, NJ
ZIP 07070
Phone: (617) 314-6567

The provider's authorized official is Preethi V Ramaswamy .
The authorized official title is Member and has the following contact phone number (617) 314-6567.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 7/28/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty25MA09032700NEW 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: 11/21/2025

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