DERMATOLOGY ASSOCIATES OF GLEN ROCK, P.A.
NPI 1790744142
Dermatology in Glen Rock, NJ
About Dermatology Associates Of Glen Rock, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ASSOCIATES OF GLEN ROCK, P.A. (NPI 1790744142) is a healthcare organization registered as a dermatology in Glen Rock, New Jersey and active in the NPI registry since March 2006. The organization lists Sharon A. Galvin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Associates Of Glen Rock, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology Associates Of Glen Rock, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dermatology Associates Of Glen Rock, P.A.'s NPI number?
The NPI number for Dermatology Associates Of Glen Rock, P.A. is 1790744142. It was assigned to this organization in the NPPES registry on March 22, 2006.
Where is Dermatology Associates Of Glen Rock, P.A. located?
Dermatology Associates Of Glen Rock, P.A. is located at 348 S Maple Ave, Glen Rock, NJ 07452. The listed phone number is (201) 652-6060.
What is Dermatology Associates Of Glen Rock, P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Associates Of Glen Rock, P.A. enrolled in Medicare?
Yes. Dermatology Associates Of Glen Rock, P.A. is registered in the Medicare PECOS enrollment system.
When is Dermatology Associates Of Glen Rock, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology Associates Of Glen Rock, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Associates Of Glen Rock, P.A.. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dermatology Associates Of Glen Rock, P.A. was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dermatology Associates Of Glen Rock, P.a. · NPI 1790744142
Dermatology organization in Glen Rock, New Jersey. Organization record, active in the CMS NPPES registry since March 22, 2006.
## Identity
- **NPI:** 1790744142 (Entity type: Organization)
- **Enumerated:** March 22, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Sharon Galvin, PRESIDENT
## Practice location
- **Address:** 348 S MAPLE AVE, Glen Rock, NJ 07452-1542
- **Phone:** (201) 652-6060 · **Fax:** (201) 652-1882
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 089304 (NJ); Medicare ID-Type Unspecified DC9002 (NJ); Medicaid 0093661 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1790744142) · Data from the CMS NPPES public registry.