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NORTH JERSEY DERMATOLOGY CENTERP.C. NPI 1861520090


NPI Information

NPI: 1861520090
Provider Name: NORTH JERSEY DERMATOLOGY CENTER,P.C.

Doing Business As: SOUTH JERSEY DERMATOLOGY CENTER

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 31D0951093

Address:
601 ROUTE 37 W
SUITE 105
TOMS RIVER, NJ
ZIP 08755
Phone: (973) 586-7447
Get Directions

NORTH JERSEY DERMATOLOGY CENTER,P.C. is a mohs-micrographic surgery dermatology in Toms River, NJ. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NORTH JERSEY DERMATOLOGY CENTER,P.C. NPI is 1861520090. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South Jersey Dermatology Center.

The provider's business location address is:

601 ROUTE 37 W
SUITE 105
TOMS RIVER, NJ
ZIP 08755-050
Phone: (973) 586-7447
Fax: (973) 586-7445

The provider's authorized official is Joseph M Masessa .
The authorized official title is President and has the following contact phone number (973) 586-7447.

The CLIA number assigned to this NPI record is 31D0951093 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 10/15/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyMA051828NEW JERSEYNo
2207ND0900XDermatologyDermatopathologyMA051828NEW JERSEYNo
3207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyMA051828NEW JERSEYNo
4207NP0225XDermatologyPediatric DermatologyMA051828NEW JERSEYNo
5207NS0135XDermatologyProcedural DermatologyMA051828NEW JERSEYNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryMA051828NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056796MEDICARE PIN

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: 11/14/2023

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