DERMONE DERMATOLOGY ASSOCIATES OF THE GARDEN STATE, PC
NPI 1053771048
Dermatology - MOHS-Micrographic Surgery in Freehold, NJ

NPI Status: Active since March 03, 2016

Contact Information

501 IRON BRIDGE ROAD
FREEHOLD, NJ
ZIP 07728
Phone: (800) 337-6663
Fax: (732) 731-6135

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery

About DERMONE DERMATOLOGY ASSOCIATES OF THE GARDEN STATE, PC

This page provides the complete NPI Profile along with additional information for Dermone Dermatology Associates Of The Garden State, Pc, a provider established in Freehold, New Jersey operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1053771048 assigned on March 2016. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Dermone Dermatology Associates Of The Garden State, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeffrey J Petrick (Chief Financial & Admin. Officer)

NPI
1053771048
Provider Name
DERMONE DERMATOLOGY ASSOCIATES OF THE GARDEN STATE, PC
Entity Type
Organization
Location Address
501 IRON BRIDGE ROAD FREEHOLD, NJ 07728
Location Phone
(800) 337-6663
Location Fax
(732) 731-6135
Mailing Address
FOUR TOWER BRIDGE, 200 BARR HARBOR DR SUITE 200 WEST CONSHOHOCKEN, PA 19428
Mailing Phone
(848) 240-2812
Mailing Fax
(732) 731-6135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2016
Last Update Date
02-27-2017
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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

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
2207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

 
3207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
4207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JEFFREY J PETRICK

Authorized Official Title
CHIEF FINANCIAL & ADMIN. OFFICER
Authorized Official Phone
(484) 240-6550

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053771048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 7 + 2 + 0 + 8 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1053771048.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
501 IRON BRIDGE ROAD, SUITE 12
FREEHOLD, NJ 07728
Obstetrics & Gynecology
501 IRON BRIDGE ROAD, SUITE 4
FREEHOLD, NJ 07728
Nurse Practitioner (Obstetrics & Gynecology)
501 IRON BRIDGE ROAD, SUITE 4
FREEHOLD, NJ 07728
Obstetrics & Gynecology
501 IRON BRIDGE ROAD, SUITE 4
FREEHOLD, NJ 07728
Obstetrics & Gynecology
501 IRON BRIDGE ROAD, SUITE 4
FREEHOLD, NJ 07728
Internal Medicine (Endocrinology, Diabetes & Metabolism)
501 IRON BRIDGE ROAD, SUITE 12
FREEHOLD, NJ 07728

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053771048, enumerated as an "organization" on March 03, 2016.

The provider is located at 501 IRON BRIDGE ROAD FREEHOLD, NJ 07728 and the phone number is (800) 337-6663.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.