Provider Demographics
NPI:1932111465
Name:DERMATOLOGY ASSOCIATES OF MORRIS P.A.
Entity Type:Organization
Organization Name:DERMATOLOGY ASSOCIATES OF MORRIS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUISNESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-335-2560
Mailing Address - Street 1:199 BALDWIN RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2043
Mailing Address - Country:US
Mailing Address - Phone:973-335-2560
Mailing Address - Fax:973-335-9421
Practice Address - Street 1:199 BALDWIN RD
Practice Address - Street 2:SUITE 230
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2043
Practice Address - Country:US
Practice Address - Phone:973-335-2560
Practice Address - Fax:973-335-9421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049900OtherUS HEALTHCARE
NJ3459403Medicaid
NJ0852717000OtherAMERIHEALTH
NJ576531Medicare ID - Type Unspecified