ATLANTIC DERMATOLOGY ASSOCIATES, LLC
NPI 1699988485
Dermatology in West Paterson, NJ

Q: What is Atlantic Dermatology Associates, LLC's NPI number?

The NPI number for Atlantic Dermatology Associates, LLC is 1699988485. It was assigned to this organization in the NPPES registry on May 8, 2007.

Q: What is Atlantic Dermatology Associates, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 08, 2007CLIA 31D1006183 · Certificate of Compliance

1031 MCBRIDE AVE, SUITE D203, WEST PATERSON, NJ 07424(973) 256-6350(973) 256-7388 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Atlantic Dermatology Associates, Llc NPPES

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

ATLANTIC DERMATOLOGY ASSOCIATES, LLC (NPI 1699988485) is a healthcare organization registered as a dermatology in West Paterson, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 17, 2027 and lists Jeffrey Whitworth, Physician, as its authorized official.

NPPES Registry Identity

NPI1699988485

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameATLANTIC DERMATOLOGY ASSOCIATES, LLC

Location Address1031 MCBRIDE AVE, SUITE D203West Paterson, NJ 07424-2559

Mailing Address1031 Mcbride Ave, Suite D203West Paterson, NJ 07424-2559 · (973) 256-6350 · Fax (973) 256-7388

Phone(973) 256-6350

Fax(973) 256-7388

Organization SubpartNo

Authorized OfficialJeffrey WhitworthPhysician · (973) 256-6350

Enumeration DateMay 8, 2007

Last NPPES UpdateApril 20, 2008

✔ NPI 1699988485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1031 MCBRIDE AVE, West Paterson, NJ 07424

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Dermatology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Atlantic Dermatology Associates, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jeffrey Whitworth, M.D.

Dermatology

NPI 1144269440

1031 MCBRIDE AVE SUITE D203
West Paterson, NJ 07424

(973) 256-6350

✔ PECOS✔ Accepts Medicare0.1 mi

David De Vinck, D.O.

Pathology

NPI 1205095155

622 WEST 168TH ST PH 1564W
New York, NY 10032

(212) 305-7399

✔ PECOS✔ Accepts Medicare14 mi

Rosaline Ahkami, MD

Dermatology

NPI 1265449334

122 MT BETHEL RD STE 1 WARREN DERMATOLOGY ASSOCIATES LLC
Warren, NJ 07059

(908) 756-7999

✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D1006183

Atlantic Dermatology Associates LLC · Woodland Park, NJ

Active · expires Mar 17, 2027

CLIA Number31D1006183

Laboratory TypePhysician Office

Certificate Effective DateMarch 18, 2025

Certificate Expiration DateMarch 17, 2027

Laboratory DirectorJeffrey M. Whitworth

Laboratory Phone(973) 256-6350

Laboratory LocationAtlantic Dermatology Associates LLC1031 Mcbride Avenue Suite D203, Woodland Park, NJ 07424

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Atlantic Dermatology Associates, LLC's NPI number?

The NPI number for Atlantic Dermatology Associates, LLC is 1699988485. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Atlantic Dermatology Associates, LLC located?

Atlantic Dermatology Associates, LLC is located at 1031 Mcbride Ave Suite D203, West Paterson, NJ 07424. The listed phone number is (973) 256-6350.

What is Atlantic Dermatology Associates, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Atlantic Dermatology Associates, LLC enrolled in Medicare?

Yes. Atlantic Dermatology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Dermatology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Atlantic Dermatology Associates, LLC, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlantic Dermatology Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D1006183) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlantic Dermatology Associates, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.