Epiphany Dermatology of New Jersey LLC
NPI 1720931801ActiveOrganization· Dermatology· Bridgewater, NJ
Dermatology in Bridgewater, New Jersey, registered in NPPES in February 2026. The authorized official on file is Gheorghe Pusta, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720931801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2026 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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