ENGLEWOOD DERMATOLOGY CENTER
NPI 1588930663
Preferred Provider Organization in Englewood, NJ

Active since March 22, 2012
300 GRAND AVE, SUITE 201, ENGLEWOOD, NJ 07631(201) 569-5151(201) 569-9193 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Englewood Dermatology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENGLEWOOD DERMATOLOGY CENTER (NPI 1588930663) is a healthcare organization registered as a preferred provider organization in Englewood, New Jersey and active in the NPI registry since March 2012. The organization lists Lenis Gonzalez, M.d., as its authorized official.

NPPES Registry Identity

NPI1588930663
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameENGLEWOOD DERMATOLOGY CENTER
Location Address300 GRAND AVE, SUITE 201Englewood, NJ 07631-4398
Mailing Address300 Grand Ave, Suite 201Englewood, NJ 07631-4398 · (201) 569-5151 · Fax (201) 569-9193
Fax(201) 569-9193
Organization SubpartNo
Authorized OfficialLenis GonzalezM.d. · (201) 569-5151
Enumeration DateMarch 22, 2012
NPI 1588930663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in NJ · 207N00000X
Definition
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.
300 GRAND AVE, Englewood, NJ 07631

Other Identifiers 1

Other1316145329Individual Npi

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
300 GRAND AVE, STE 103
ENGLEWOOD, NJ 07631
Specialist
300 GRAND AVE, SUITE #104
ENGLEWOOD, NJ 07631
Acupuncturist
300 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 07631
Clinic/Center (Physical Therapy)
300 GRAND AVE, SUITE 101
ENGLEWOOD, NJ 07631
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
300 GRAND AVE, SUITE 104
ENGLEWOOD, NJ 07631
Nurse Practitioner
300 GRAND AVE
ENGLEWOOD, NJ 07631
Urology
300 GRAND AVE, SUITE 202
ENGLEWOOD, NJ 07631
Dentist (Endodontics)
300 GRAND AVE
ENGLEWOOD, NJ 07631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Englewood Dermatology Center's NPI number?

The NPI number for Englewood Dermatology Center is 1588930663. It was assigned to this organization in the NPPES registry on March 22, 2012.

Where is Englewood Dermatology Center located?

Englewood Dermatology Center is located at 300 Grand Ave Suite 201, Englewood, NJ 07631. The listed phone number is (201) 569-5151.

What is Englewood Dermatology Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Englewood Dermatology Center was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.