MEDICARE: SDG DERMATOLOGY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207ND0101X	MOHS-Micrographic Surgery Physician
2	207ND0900X	Dermatopathology Physician
3	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1013623065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SDG DERMATOLOGY PC

Provider Business Mailing Address
First Line	:	33 E 33RD ST FL 12
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5362
Country	:	US
Telephone Number	:	212-283-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 ONE MILE RD EXT
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-2505
Country	:	US
Telephone Number	:	609-443-4500
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JANELLE GORFINKLE
Credential	:
Telephone Number	:	925-819-6228

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	11/08/2023

Similar Medicare Providers

1376548917 — DR. MARY ELIZABETH TEIXEIRA DRNP
Practice Location Address:

59 ONE MILE RD EXT
EAST WINDSOR, NJ
08520-2505

Practice Phone: 609-443-0041
Practice Fax:

1992832992 — MS. G SANDRA BYER-LUBIN MS, RD, CDE
Practice Location Address:

59 ONE MILE RD EXT
EAST WINDSOR, NJ
08520-2505

Practice Phone: 609-275-6237
Practice Fax:

1497876601 — DR. WENDY ANNE MYERS M.D.
Practice Location Address:

59 ONE MILE RD EXT
EAST WINDSOR, NJ
08520-2505

Practice Phone: 609-443-4500
Practice Fax:

1053516351 — DR. BRIAN ROBERT KEEGAN M.D., PH. D.
Practice Location Address:

59 ONE MILE RD EXT , SUITE G
EAST WINDSOR, NJ
08520-2505

Practice Phone: 609-619-3433
Practice Fax: 609-426-0530

1659651099 — DR. JESSICA SIMON M.D
Practice Location Address:

59 ONE MILE RD EXT STE G
EAST WINDSOR, NJ
08520-2505

Practice Phone: 609-443-4500
Practice Fax:

1851887301 — ALEXA MARIE HETZEL PA-C
Practice Location Address:

59 ONE MILE RD EXT
EAST WINDSOR, NJ
08520-2505

Practice Phone: 609-443-4500
Practice Fax:

Directions to “SDG DERMATOLOGY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.