OrganizationActive
Englewood Dermatology Center
NPI 1588930663 · Preferred Provider Organization · Englewood, NJ
Provider details
- NPI number
- 1588930663
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lenis Gonzalez, M.D.(201) 569-5151
- License
- 207N00000X (NJ)
Specialties & taxonomies
Managed Care Organizations
Practice location
300 Grand Ave
Suite 201
Englewood, NJ 07631-4398
Phone: (201) 569-5151
Fax: (201) 569-9193
Approximate (ZIP-level) locationGet directions
Mailing address
300 Grand Ave
Englewood, NJ 07631-4398
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2012-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.