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