COSMETIC AND PROCEDURAL DERMATOLOGY CENTER, LLC (NPI# 1295892339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295892339 |
| Entity Type | Organization |
| Organization Name | COSMETIC AND PROCEDURAL DERMATOLOGY CENTER, LLC |
| Practice Address |
215 Morris Ave Spring Lake NJ 07762-1360 |
| Practice Telephone | 7324493005 |
| Practice Fax Number | 7324495110 |
| Mailing Telephone | 7324493005 |
| Mailing Fax Number | 7324495110 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | J. BARTON STERLING (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7324493005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
25MA07887600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
215 MORRIS AVE |
| City | SPRING LAKE |
| State | NJ |
| Zip Code | 07762-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053478180 | J.barton Sterling | Dermatology | 215 Morris Ave, Spring Lake, NJ 07762-1360 | 2007-01-01 |
| 1366591653 | Eileen Spillane-grieco | Social Worker | 215 Morris Ave, Spring Lake, NJ 07762-1360 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700214723 | Stefanie Granzin | Marriage & Family Therapist | 10 Devon Court, Spring Lake, NJ 07762 | 2013-10-30 |
| 1770747610 | Mariela J Pazos | Veterinarian | 410 Essex Ave, Spring Lake, NJ 07762 | 2008-07-10 |
| 1033384730 | Nicholas F Graziano | Dentist | 101 Rt 46 West, Saddlebrook, NJ 07762 | 2008-04-24 |
| 1427187475 | Jennifer Easton Slovak | Social Worker | 712 Wall Road, Spring Lake Heights, NJ 07762 | 2007-03-05 |
| 1265527014 | John Paul Vetovick | Dentist | 2028 Hwy 71, Spring Lake Hts, NJ 07762 | 2006-10-04 |
| 1780778357 | John Charles | Marriage & Family Therapist | 1405 Third Ave, Spring Lake, NJ 07762 | 2006-10-03 |
| 1922036367 | Phillip J Lobuono | Dermatology | 211 Highway 71, Spring Lake Heights, NJ 07762 | 2006-06-28 |
| 1962448035 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2006 State Highway 35, Springlake, NJ 07762 | 2006-06-20 |
| 1235107269 | Joseph A Duddy IIi | Dentist | 1010 Highway 71, Spring Lake Heights, NJ 07762 | 2006-03-08 |
| 1730153321 | Paul A Pardon | Internal Medicine | 512 Warren Ave., Spring Lake, NJ 07762 | 2006-02-13 |
| Find all providers in zip 07762 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| 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. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053478180 | J.barton Sterling | Dermatology | 215 Morris Ave, Spring Lake, NJ 07762-1360 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205991 | Skin Cancer & Mohs Surgery LLC | Dermatology | 82 E Allendale Rd Ste 8a, Saddle River, NJ 07458-3057 | 2019-10-07 |
| 1528466919 | Coastal Dermatology LLC | Dermatology | 198 Jack Martin Blvd., Brick, NJ 08724 | 2014-12-17 |
| 1578724571 | Kapila V Paghdal | Dermatology | 400 Route 17, Suite 2, Ridgewood, NJ 07450-2010 | 2008-06-23 |
| 1376724575 | American Skin and Cancer Center PC | Dermatology | 25 1st Ave Ste 113, Atlantic Highlands, NJ 07716-1285 | 2007-11-16 |
| 1104950013 | Dermatology Associates of Central New Jersey, Pa | Dermatology | 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 | 2007-03-15 |
| 1083636898 | Christopher Bryant Kruse | Dermatology | 225 Highway 35 Ste 208, Red Bank, NJ 07701-5919 | 2006-07-24 |
| 1518900810 | Dermatology and Laser Center of Northern New Jersey LLC | Dermatology | 290 S Livingston Ave, Suite 1, Livingston, NJ 07039-3931 | 2006-06-14 |
| 1528001583 | David J Goldberg | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2006-06-14 |
| 1740237627 | Robert Basil Sollitto | Dermatology | 2 Van Buren Rd, Voorhees, NJ 08043-2370 | 2006-05-27 |
| 1043276108 | David A Wrone | Dermatology | 1950 State Highway 27, Suite A, North Brunswick, NJ 08902 | 2006-04-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 07762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.