GARDEN STATE DERMATOLOGY LLC
NPI 1811305444
Clinic/Center - Medical Specialty in Rutherford, NJ

Active since July 28, 2014
201 NEW JERSEY 17, FLOOR 11, RUTHERFORD, NJ 07070(617) 314-6567 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garden State Dermatology Llc NPPES

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

GARDEN STATE DERMATOLOGY LLC (NPI 1811305444) is a healthcare organization registered as a medical specialty in Rutherford, New Jersey and active in the NPI registry since July 2014. The organization lists Preethi V Ramaswamy, Member, as its authorized official.

NPPES Registry Identity

NPI1811305444
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGARDEN STATE DERMATOLOGY LLC
Location Address201 NEW JERSEY 17, FLOOR 11Rutherford, NJ 07070
Mailing Address7 Maltese DrFair Lawn, NJ 07410-5815 · (617) 314-6567
Organization SubpartNo
Authorized OfficialPreethi V RamaswamyMember · (617) 314-6567
Enumeration DateJuly 28, 2014
NPI 1811305444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in NJ · 25MA09032700
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
201 NEW JERSEY 17, Rutherford, NJ 07070

Other Providers at the Same Location NPPES

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

Dermatology
201 NEW JERSEY 17, 11TH FLOOR
RUTHERFORD, NJ 07070

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 Garden State Dermatology LLC's NPI number?

The NPI number for Garden State Dermatology LLC is 1811305444. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Garden State Dermatology LLC located?

Garden State Dermatology LLC is located at 201 New Jersey 17 Floor 11, Rutherford, NJ 07070. The listed phone number is (617) 314-6567.

What is Garden State Dermatology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Garden State Dermatology LLC was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.