National Provider Identifier Database

ENGLEWOOD DERMATOLOGY CENTER
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ENGLEWOOD DERMATOLOGY CENTER
300 GRAND AVE
SUITE 201
ENGLEWOOD, NJ07631-4398
Phone: 201-569-5151
Fax: 201-569-9193
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ENGLEWOOD DERMATOLOGY CENTER

NPI Number 1588930663
Legal business name
LBN
ENGLEWOOD DERMATOLOGY CENTER
Authorized official LENIS GONZALEZ - (M.D.)
Entity Organization
Organization subpart No
Enumeration date 03/22/2012
Last updated 03/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 207N00000X
  • Other: 1316145329 INDIVIDUAL NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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