| Dermaheal LLC | |
|
532 Lafayette Rd Ste 300 Sparta NJ 07871-4411 | |
| (973) 940-0423 | |
| (973) 940-0399 |
| Full Name | Dermaheal LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 532 Lafayette Rd Ste 300, Sparta, New Jersey |
| Authorized Official Name and Position | Walter Grote (MD -OWNER) |
| Authorized Official Contact | 9739400423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermaheal LLC 532 Lafayette Rd Ste 300 Sparta NJ 07871-4411 Ph: (973) 940-0423 | Dermaheal LLC 532 Lafayette Rd Ste 300 Sparta NJ 07871-4411 Ph: (973) 940-0423 |
| NPI Number | 1275408734 |
|---|---|
| Provider Enumeration Date | 10/06/2025 |
| Last Update Date | 10/17/2025 |
| Certification Date | 10/17/2025 |
| Medicare PECOS PAC ID | 2163901703 |
|---|---|
| Medicare Enrollment ID | O20260204002722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275408734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Walter R Grote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811983745 PECOS PAC ID: 5799674495 Enrollment ID: I20080520000057 |
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