{"npi":"1477031318","type":"NPI-2","status":"active","name":{"display":"Wellness Dermatology LLC","other":[],"organization_name":"WELLNESS DERMATOLOGY LLC","authorised_official":"Erine Kupetsky"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"NJ","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"638 LAWRENCEVILLE RD","city":"LAWRENCEVILLE","state":"NJ","postal_code":"086484208","country_code":"US","phone":"6093377643","fax":"6093377648"},{"purpose":"MAILING","street_1":"638 LAWRENCEVILLE RD","city":"LAWRENCEVILLE","state":"NJ","postal_code":"086484208","country_code":"US","phone":"6093377643","fax":"6093377648"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20181018001143","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"3971855065"}]},"enumeration_date":"2018-08-02","last_updated":"2026-01-14","_meta":{"source":"NPPES","snapshot_date":"2026-01-14","doc_url":"https://findmynpi.com/api"}}