N J Dermatopathology

LBN: N J Dermatopathology
N J Dermatopathology is an health care organization with primary practice located at 769 Northfield Ave Ste Ll30 , West Orange NJ 07052. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. N J Dermatopathology can be contacted via phone (973) 669-0141, or through Rothenberg, Jerry via phone (973) 669-0141.

Contact Information

Primary practice address
769 Northfield Ave Ste Ll30 West Orange NJ 07052
Phone: (973) 669-0141
Fax: (973) 669-8220
Website:
Map and Directions
Authorized official contact:
Name: Rothenberg, Jerry Doctor of Medicine (MD)
Phone: (973) 669-0141

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 25MA03949600. New Jersey

Profile Details

NPI number 1275606998
LBN Legal business name N J Dermatopathology
DBA Doing business as
Authorized official Rothenberg, Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 30th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275606998 NPPES
New Jersey MEDICAID 3300609
New Jersey Other 1220021085

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