SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA
NPI 1710955323
Specialist in Turnersville, NJ

NPI Status: Active since March 09, 2006

Contact Information

900 ROUTE 168
F6
TURNERSVILLE, NJ
ZIP 08012
Phone: (856) 227-7488
Fax: (856) 228-3476

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  • Organization
  • Specialist

About SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for South Jersey Dermatology Associates, Pa, a provider established in Turnersville, New Jersey operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1710955323 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X with license number 25MA03237000 (NJ). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Booth H Durham M.d. (President)

NPI
1710955323
Provider Name
SOUTH JERSEY DERMATOLOGY ASSOCIATES, PA
Entity Type
Organization
Location Address
900 ROUTE 168 F6 TURNERSVILLE, NJ 08012
Location Phone
(856) 227-7488
Location Fax
(856) 228-3476
Mailing Address
900 ROUTE 168 F6 TURNERSVILLE, NJ 08012
Mailing Phone
(856) 227-7488
Mailing Fax
(856) 228-3476
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2006
Last Update Date
04-06-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
25MA03237000
License State
NJ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BOOTH H DURHAM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(856) 227-7488

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C54079MEDICARE UPIN (02)NJ 
405120MEDICARE ID-TYPE UNSPECIFIED (04) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710955323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201851034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 5 + 1 + 0 + 3 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1710955323 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841262185 PAUL CARBONARO MD
Individual
Dermatology900 ROUTE 168 SUITE F5
TURNERSVILLE, NJ 08012
(856) 232-7500
1780633594RAYTEL MEDICAL IMAGING, INC.
Organization
Clinic/Center (Radiology)900 ROUTE 168 SUITE G
TURNERSVILLE, NJ 08012
(856) 232-7474
1053353383DR. VALERIE DIPIETRO LONGO OD
Individual
Optometrist (Vision Therapy)900 ROUTE 168
TURNERSVILLE, NJ 08012
(856) 227-0720
1134165392 JOHN W DIERING OD
Individual
Optometrist (Vision Therapy)900 ROUTE 168 SUITE E5
TURNERSVILLE, NJ 08012
(856) 227-0720
1881628907FAMILY DERMATOLOGY, LLC
Organization
Dermatology900 ROUTE 168 SUITE F5
TURNERSVILLE, NJ 08012
(856) 232-7500
1912019332DR. MELVIN SAUL GRUBER MD
Individual
Dermatology900 ROUTE 168 SUITE F-6
TURNERSVILLE, NJ 08012
(856) 227-7488
1033245121DR. SONIA I MEDINA MD
Individual
Pediatrics900 ROUTE 168 SUITE J2
TURNERSVILLE, NJ 08012
(856) 228-1103
1679762363SSP PARTNERS, LLC
Organization
Clinic/Center (Radiology)900 ROUTE 168 SUITE G
TURNERSVILLE, NJ 08012
(856) 232-7474
1174858245HEALTH NETWORK LABORATORIES
Organization
Clinical Medical Laboratory900 ROUTE 168 SUITE I-2
TURNERSVILLE, NJ 08012
(856) 383-5950
1861797789CARL A. VITOLA, DO PC
Organization
Family Medicine900 ROUTE 168 SUITE C3
TURNERSVILLE, NJ 08012
(856) 374-0430
1063707206SUMMERVILLE COUNSELING SERVICES LLC
Organization
Social Worker (Clinical)900 ROUTE 168 SUITE A-4
TURNERSVILLE, NJ 08012
(856) 343-9889
1144643180 STACEY CURTIS PT
Individual
Physical Medicine & Rehabilitation900 ROUTE 168 SUITE A-8
TURNERSVILLE, NJ 08012
(856) 227-1440
1710360557JOHNSON ASSOCIATES SYSTEMS, INC.
Organization
Health Maintenance Organization900 ROUTE 168 SUITE F4
TURNERSVILLE, NJ 08012
(856) 228-2175
1972618254DIERING AND DIPIETRO ASSOCIATES PTRS
Organization
Optometrist (Vision Therapy)900 ROUTE 168 SUITEE5
TURNERSVILLE, NJ 08012
(856) 227-0720
1649726571REHAB EXCELLENCE CENTER, LLC
Organization
Physical Therapist900 ROUTE 168 SUITE A-8
TURNERSVILLE, NJ 08012
(856) 227-1440
1225571748 ALLISON PFROMMER
Individual
Physical Therapist900 ROUTE 168
TURNERSVILLE, NJ 08012
(856) 227-1440
1497295109KENNEDY MEDICAL GROUP PRACTICE P.C.
Organization
Psychologist (Prescribing (Medical))900 ROUTE 168 SUITE C#3
BLACKWOOD, NJ 08012
(856) 857-6920
1851363485DR. LESLIE N MADRAK D.O.
Individual
Psychiatry & Neurology (Psychiatry)900 ROUTE 168
BLACKWOOD, NJ 08012
(856) 857-6920
1295864692DRS.MEDINA AND MARGALLO PEDIATRIC ASSOCIATES
Organization
Pediatrics900 ROUTE 168 SUITE J2
TURNERSVILLE, NJ 08012
(856) 228-1103
1669195574 KYLE J NELMS PTA
Individual
Physical Therapy Assistant900 ROUTE 168
TURNERSVILLE, NJ 08012
(856) 227-1440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710955323, enumerated in the NPI registry as an "organization" on March 09, 2006

The provider is located at 900 Route 168 F6 Turnersville, Nj 08012 and the phone number is (856) 227-7488

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.