Englewood Dermatology Center

LBN: Englewood Dermatology Center
Englewood Dermatology Center is an health care organization with primary practice located at 300 Grand Ave Suite 201, Englewood NJ 07631-4398. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Englewood Dermatology Center can be contacted via phone (201) 569-5151, or through Gonzalez, Lenis via phone (201) 569-5151.

Contact Information

Primary practice address
300 Grand Ave Suite 201 Englewood NJ 07631-4398
Phone: (201) 569-5151
Fax: (201) 569-9193
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Lenis Doctor of Medicine (MD)
Phone: (201) 569-5151

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 207N00000X New Jersey

Profile Details

NPI number 1588930663
LBN Legal business name Englewood Dermatology Center
DBA Doing business as
Authorized official Gonzalez, Lenis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 22nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588930663 NPPES
Other 1316145329 INDIVIDUAL NPI

Popular Providers