COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC


Address: 719 N Beers St, Suite 2g, Holmdel, NJ 07733-1522
Phone: 8023100664

COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC (NPI# 1427355825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427355825
Entity Type Organization
Organization Name COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC
Practice Address 719 N Beers St
Suite 2g
Holmdel
NJ 07733-1522
Mailing Address 8 Riverside Ln
Holmdel
NJ 07733-2084
Practice Telephone 8023100664
Mailing Telephone 8023100664
Enumeration Date 2011-02-21
Last Update Date 2011-02-21
Authorized Official Name DR. MANOJ THAKKER (OWNER)
Authorized Official Telephone 8023100664
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 25MA08673200 NJ Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
25MA08673200 NJ Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
25MA08829200 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 719 N BEERS ST
SUITE 2G
City HOLMDEL
State NJ
Zip Code 07733-1522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710958244 Central Jersey Pulmonary & Medical Associates, LLC Internal Medicine 719 N Beers St, Suites 2e & 2f, Holmdel, NJ 07733 2006-02-01
1407324585 Healthy Body Nutrition, LLC Dietitian, Registered 719 N Beers St, Holmdel, NJ 07733-1522 2018-11-07
1114435120 Elisabeth Holtzer Dietitian, Registered 719 N Beers St, Holmdel, NJ 07733-1522 2018-01-12
1093257180 Critical Care Consultants of New Jersey LLC Internal Medicine 719 N Beers St, Suite 2 E & F, Holmdel, NJ 07733-1522 2016-11-07
1003361494 Holmdel Physical Therapy and Sports Medicine LLC Physical Therapist 719 N Beers St, Suite 2a, Holmdel, NJ 07733-1522 2016-08-16
1750763686 Heather Lorian Quinlivan Acupuncturist 719 N Beers St, Holmdel, NJ 07733-1522 2015-06-27
1154701092 Apmr of Holmdel, LLC Acupuncturist 719 N Beers St, Suite 2a, Holmdel, NJ 07733-1522 2015-06-05
1962821132 Brittany Marie Carey Pediatrics 719 N Beers St, Holmdel, NJ 07733-1522 2014-04-15
1760739775 Vanda Bruner Md Pa Pediatrics 719 N Beers St, Suite 1a, Holmdel, NJ 07733-1522 2012-08-08
1134480791 Divya Sambandan Bhatnagar Dermatology 719 N Beers St, Suite 2g, Holmdel, NJ 07733-1522 2012-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851927628 Kathleen Knauf Physical Medicine & Rehabilitation 2080 Nj 35 #1, Holmdel, NJ 07733 2020-03-12
1396370516 Alexandra Julia Ali Specialist/Technologist 2080 State Route 35, Holmdel, NJ 07733 2020-03-09
1942862248 Niki Mirzaei Optometrist 2101 Nj-35, Holmdel, NJ 07733 2019-07-08
1487147740 Advanced Pulmonary Medicine, LLC Internal Medicine 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 2018-06-12
1487188686 Smile Works Dental Center Pa. Dentist 101 Crawford Corner Road In Bellworks Building, Suite 1109, Holmdel, NJ 07733 2017-04-13
1366983033 Liberty Med Associates LLC Internal Medicine 999 Palmer Ave Ste 1, Holmdel, NJ 07733 2017-03-15
1699214072 Candace Stefflre Massage Therapist 14-b Plum Lane, Holmdel, NJ 07733 2017-02-17
1326411604 Catherine Aurelie Hoch Clinical Nurse Specialist 727 N. Beers St, Holmdel, NJ 07733 2015-11-09
1174905228 Lindsey Kirdahy Counselor 797 North Beers St, Holmdel, NJ 07733 2015-06-25
1245592971 Jenifer Paulino Early Intervention Provider Agency 262 South Holland Road, Holmdel, NJ 07733 2012-06-08
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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/

Providers in the same taxonomy and state

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
1053478180 J.barton Sterling Dermatology 215 Morris Ave, Spring Lake, NJ 07762-1360 2007-01-01
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
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Competitor

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City HOLMDEL
Zip Code 07733

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Dataset Information

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.

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