Image Dermatology PC
NPI 1104027556 · Specialist · Montclair, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Image Dermatology PC is a Specialist organization in Montclair, NJ (NPI 1104027556).
Provider details
- NPI number
- 1104027556
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jeanine Downie, Owner(973) 509-6900
- License
- MA65931 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2008-01-24
Frequently asked questions
- What is Image Dermatology PC's NPI number?
- Image Dermatology PC's National Provider Identifier (NPI) is 1104027556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Image Dermatology PC?
- Image Dermatology PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Image Dermatology PC located?
- Image Dermatology PC's practice location on file with NPPES is 51 Park St, Montclair, NJ 07042-3439.
- What is Image Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Image Dermatology PC is (973) 509-6900.
- Does Image Dermatology PC accept Medicare?
- Image Dermatology PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Image Dermatology PC?
- The authorized official listed on Image Dermatology PC's NPPES record is Jeanine Downie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Image Dermatology PC's NPI active?
- Yes — Image Dermatology PC's NPI (1104027556) is active in the NPPES registry as of the last update on 2008-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.