ADVANCED DERMATOLOGY P.C. NPI 1124109913

NPI Information

  • NPI: 1124109913
  • Provider Name: ADVANCED DERMATOLOGY, P.C.
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 31D1078763
  • Address: 570 EGG HARBOR RD STE C1
    SEWELL, NJ
    ZIP 08080
  • Phone: (856) 256-8899

Map and Directions

Get Directions

NPI Details

ADVANCED DERMATOLOGY, P.C. is a dermatology in Sewell, NJ. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. ADVANCED DERMATOLOGY, P.C. NPI is 1124109913. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

570 EGG HARBOR RD STE C1
SEWELL, NJ
ZIP 08080-359
Phone: (856) 256-8899
Fax: (856) 256-8868

The provider's authorized official is Kehua Li .
The authorized official title is President and has the following contact phone number (856) 256-8899.

The CLIA number assigned to this NPI record is 31D1078763 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery25MA07893300NEW JERSEYNo
2207ND0900XDermatologyDermatopathology25MA07893300NEW JERSEYNo
3207N00000XDermatology25MA07893300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11124109913OTHERNPI
231D1078763OTHERCLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI