Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adrian L Connolly III, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1922001650

Dr. Adrian L Connolly III, MD is a Dermatology in West Orange, New Jersey. Graduated from Rutgers New Jersey Medical School in 1975, 51 years ago. Practices with Natural Image Skin Center, a 9-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
51
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Old Short Hills Rd Ste 503
West Orange, NJ 07052-1023
Phone: (973) 731-9131
Fax: (973) 731-9201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MA036148 (NJ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MA036148 (NJ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MA036148 (NJ)

Record details

NPI number1922001650
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2005
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1975 (51 years in practice)
Group practice Natural Image Skin Center — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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