GARDEN STATE DERMATOLOGY LLC – NPI #1811305444
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

GARDEN STATE DERMATOLOGY LLC is an AHC clinic located in RUTHERFORD, NJ. NPPES has assigned the NPI number 1811305444 to GARDEN STATE DERMATOLOGY LLC on July 28, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARDEN STATE DERMATOLOGY LLC below.

NPI Profile for
GARDEN STATE DERMATOLOGY LLC

NPI Number
1811305444
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GARDEN STATE DERMATOLOGY LLC
Primary location
201 NEW JERSEY 17
FLOOR 11
RUTHERFORD, NJ 07070
Phone: (617) 314-6567 Fax:
Mailing address
7 MALTESE DR
FAIR LAWN, NJ 07410-5815
Phone: (617) 314-6567 Fax:
Organization Subpart
No
Authorized Official
PREETHI RAMASWAMY
MEMBER
Phone: (617) 314-6567
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)		 NJ 25MA09032700

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.