Active NPIOrganization

Advanced Dermatology Surgery Center

Dermatology, Procedural Dermatology in Tinton Falls, New Jersey

NPI Number1144657164
Practice location
4 Hartford Dr, Suite 3, Tinton Falls, NJ 07701-4929
Fax
732-933-4177
Last updated
May 5, 2015

Advanced Dermatology Surgery Center is a healthcare organization based in Tinton Falls, NJ. Advanced Dermatology Surgery Center practices in Tinton Falls, NJ. The NPI Number for Advanced Dermatology Surgery Center is 1144657164 and holds a License No. 25MA06217900 (NJ). The current practice location address for Advanced Dermatology Surgery Center is 4 Hartford Dr, Suite 3, Tinton Falls, NJ 07701-4929 and can be reached out via phone at 732-933-8500 and via fax at 732-933-4177.

Provider Profile Details

NPI Number
1144657164
Provider Name
Advanced Dermatology Surgery Center
Provider Entity Type
Organization
Address
4 Hartford Dr, Suite 3, Tinton Falls, NJ 07701-4929
Phone Number
732-933-8500
Fax Number
732-933-4177
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Organization Subpart
No
Authorized Official
Dr. Glenn Kolansky, MD · Owner · 732-933-8500
Provider Enumeration Date
October 4, 2013
Last Update Date
May 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Hartford Dr
Suite 3
Tinton Falls, NJ 07701-4929
Zip
07701-4929
Phone Number
732-933-8500
Fax Number
732-933-4177
Tinton Falls, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
4 Hartford Dr
Suite 3
Tinton Falls, NJ 07701-4929
City
Tinton Falls
State
NJ
Zip
07701-4929
Phone Number
732-933-8500
Fax Number
732-933-4177

License Information

License Number
25MA06217900
License State
NJ
Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X · 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 Surgery Center?

The NPI number of Advanced Dermatology Surgery Center is 1144657164. It was assigned on October 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology Surgery Center?

Advanced Dermatology Surgery Center is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in NJ under license number 25MA06217900.

Where does Advanced Dermatology Surgery Center practice?

The practice location is 4 Hartford Dr, Suite 3, Tinton Falls, NJ 07701-4929. The office can be reached at 732-933-8500 (phone) or 732-933-4177 (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 1144657164 directly on the NPPES registry website.

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