GANGARAM RAGI NPI 1124138995

NPI Information

  • NPI: 1124138995
  • Provider Name: GANGARAM RAGI
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED LASER & SKIN CANCER CTR LLC
  • CLIA Number: 31D0682950
  • Address: 870 PALISADE AVENUE
    SUITE 302
    TEANECK, NJ
    ZIP 07666
  • Phone: (201) 836-9696

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NPI Details

GANGARAM RAGI is a dermatology in Teaneck, 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. GANGARAM RAGI NPI is 1124138995. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Laser & Skin Cancer Ctr Llc.

The provider's business location address is:

870 PALISADE AVENUE
SUITE 302
TEANECK, NJ
ZIP 07666-446
Phone: (201) 836-9696

The provider's authorized official is Gangaram Ragi .
The authorized official title is Member and has the following contact phone number (201) 836-9696.

The CLIA number assigned to this NPI record is 31D0682950 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/30/2014.

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
1207N00000XDermatologyNEW 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
1234773MEDICARE PINNEW JERSEY

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

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