Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Image Dermatology PC

Organization Specialist · NPI 1104027556

Image Dermatology PC provides Specialist services in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

51 Park St
Montclair, NJ 07042-3439 Not confirmed with CMS for 18 years — call before visiting
Phone: (973) 509-6900
Fax: (973) 509-6939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA65931 (NJ)

Record details

NPI number1104027556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanine Downie — Owner · (973) 509-6900
NPI enumeratedMay 31, 2007
Last updated in NPPESJanuary 24, 2008
Mailing address51 Park St, Montclair, NJ 07042-3439

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