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Deactivated NPI 1548549322 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Nelson , MD

Dermatology • Hackensack, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2011
NPI Deactivation Date September 30, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Nelson, MD was a registered Dermatology practicing in Hackensack, NJ. Throughout an active medical career spanning 9 years, Dr. Nelson provided care at the practice location at 316 PROSEPCT AVE until profile deactivation on 2020-09-30.

Practice Location & Contact Primary Location

Practice Address

316 Prosepct Ave
Apt 9e

Hackensack, NJ 070612775

Telephone 2015251094

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Hackensack, NJ (444 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NJ 25MA017714

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 30, 2020

Record deactivated on September 30, 2020

NPI Profile Active August 10, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2011

Registered at 316 PROSEPCT AVE, APT 9E, HACKENSACK, NJ 070612775 (Tel: 2015251094)

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Updated Business Mailing Address August 10, 2011

Registered at 316 PROSEPCT AVE, APT 9E, HACKENSACK, NJ 070612775 (Tel: 2015251094)

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Provider Name / Credentials Updated August 10, 2011

Recorded as PAUL NELSON, M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2011

Dermatology (License #25MA017714 in NJ)

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Initial NPI Registration & Enumeration August 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548549322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2011
Last Update: August 10, 2011
Deactivation Date: September 30, 2020

Mailing Address

316 Prosepct Ave, Apt 9e

Hackensack, NJ 070612775

Phone: 2015251094

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.