Active NPIOrganization

Advanced Dermatology, P.c.

Dermatology in Sewell, New Jersey

NPI Number1124109913
Practice location
570 Egg Harbor RD Ste C1, Sewell, NJ 08080-2359
Fax
856-256-8868
Last updated
August 3, 2025

Advanced Dermatology, P.c. is a healthcare organization based in Sewell, NJ. Advanced Dermatology, P.c. practices in Sewell, NJ. The NPI Number for Advanced Dermatology, P.c. is 1124109913 and holds a License No. 25MA07893300 (NJ). The current practice location address for Advanced Dermatology, P.c. is 570 Egg Harbor RD Ste C1, Sewell, NJ 08080-2359 and can be reached out via phone at 856-256-8899 and via fax at 856-256-8868.

Provider Profile Details

NPI Number
1124109913
Provider Name
Advanced Dermatology, P.c.
Provider Entity Type
Organization
Address
570 Egg Harbor RD Ste C1, Sewell, NJ 08080-2359
Phone Number
856-256-8899
Fax Number
856-256-8868
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Kehua Li, MD · President · 856-256-8899
Provider Enumeration Date
October 18, 2006
Last Update Date
August 3, 2025
Certification Date
August 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
570 Egg Harbor RD Ste C1
Sewell, NJ 08080-2359
City
Sewell
Zip
08080-2359
Phone Number
856-256-8899
Fax Number
856-256-8868
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
570 Egg Harbor RD
Suite C-1
Sewell, NJ 08080-2359
City
Sewell
State
NJ
Zip
08080-2359
Phone Number
856-256-8899
Fax Number
856-256-8868

License Information

License Number (1)
25MA07893300
License State (1)
NJ
Taxonomy (1)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
License Number (2)
25MA07893300
License State (2)
NJ
Taxonomy (2)
Dermatology, Dermatopathology · 207ND0900X
License Number (3)
25MA07893300
License State (3)
NJ
Taxonomy (3)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Dermatology, P.c.?

The NPI number of Advanced Dermatology, P.c. is 1124109913. It was assigned on October 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology, P.c.?

Advanced Dermatology, P.c. is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MA07893300.

Where does Advanced Dermatology, P.c. practice?

The practice location is 570 Egg Harbor RD Ste C1, Sewell, NJ 08080-2359. The office can be reached at 856-256-8899 (phone) or 856-256-8868 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124109913 directly on the NPPES registry website.

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