MOORESTOWN DERMATOLOGY ASSOCIATES PA
NPI 1730104381
Dermatology in Moorestown, NJ

Active since July 13, 2006CLIA 31D0921859 · Certificate of Compliance
110 MARTER AVE, SUITE 102, MOORESTOWN, NJ 08057(856) 235-6565(856) 235-6566 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moorestown Dermatology Associates Pa NPPES

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

MOORESTOWN DERMATOLOGY ASSOCIATES PA (NPI 1730104381) is a healthcare organization registered as a dermatology in Moorestown, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 1, 2027 and lists Germaine M Camishion, President, as its authorized official.

NPPES Registry Identity

NPI1730104381
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOORESTOWN DERMATOLOGY ASSOCIATES PA
Location Address110 MARTER AVE, SUITE 102Moorestown, NJ 08057-3124
Mailing Address110 Marter Ave, Suite 102Moorestown, NJ 08057-3124 · (856) 235-6565 · Fax (856) 235-6566
Fax(856) 235-6566
Organization SubpartNo
Authorized OfficialGermaine M CamishionPresident · (856) 235-6565
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 31, 2015
NPI 1730104381 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.
110 MARTER AVE, Moorestown, NJ 08057

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

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 31D0921859

Moorestown Dermatology Associates PA · Moorestown, NJ
Active · expires Apr 1, 2027
CLIA Number31D0921859
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorMary Katharine M. Emerel
Laboratory Phone(856) 235-6565
Laboratory LocationMoorestown Dermatology Associates PA110 Marter Avenue Suite 102, Moorestown, NJ 08057
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
110 MARTER AVE, BLDG 500, SUITE 503
MOORESTOWN, NJ 08057
Dentist (Periodontics)
110 MARTER AVE
MOORESTOWN, NJ 08057
Family Medicine
110 MARTER AVE, SUITE 503
MOORESTOWN, NJ 08057
Dermatology
110 MARTER AVE, SUITE 306
MOORESTOWN, NJ 08057
Social Worker (Clinical)
110 MARTER AVE, SUITE 201
MOORESTOWN, NJ 08057
Social Worker (Clinical)
110 MARTER AVE, SUITE 406
MOORESTOWN, NJ 08057
Dentist (General Practice)
110 MARTER AVE, SUITE 204
MOORESTOWN, NJ 08057
Physical Therapist
110 MARTER AVE, SUITE 504, BUILDING 500
MOORESTOWN, NJ 08057

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 Moorestown Dermatology Associates PA's NPI number?

The NPI number for Moorestown Dermatology Associates PA is 1730104381. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Moorestown Dermatology Associates PA located?

Moorestown Dermatology Associates PA is located at 110 Marter Ave Suite 102, Moorestown, NJ 08057. The listed phone number is (856) 235-6565.

What is Moorestown Dermatology Associates PA's specialty?

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

Does Moorestown Dermatology Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0921859) is associated with this NPI, valid through April 1, 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 Moorestown Dermatology Associates PA was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.