Active NPIOrganization

Modern Dermatology And Cosmetic Center LLC

Dermatology in Wall, New Jersey

NPI Number1376230581
Practice location
2510 Belmar Blvd, Wall, NJ 07719-3948
Fax
—
Last updated
April 18, 2023

Modern Dermatology And Cosmetic Center LLC is a healthcare organization based in Wall, NJ. Modern Dermatology And Cosmetic Center LLC practices in Wall, NJ. The NPI Number for Modern Dermatology And Cosmetic Center LLC is 1376230581. The current practice location address for Modern Dermatology And Cosmetic Center LLC is 2510 Belmar Blvd, Wall, NJ 07719-3948 and can be reached out via phone at 908-391-1694.

Provider Profile Details

NPI Number
1376230581
Provider Name
Modern Dermatology And Cosmetic Center LLC
Provider Entity Type
Organization
Address
2510 Belmar Blvd, Wall, NJ 07719-3948
Phone Number
908-391-1694
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Iris Hatziminas · Owner · 908-391-1694
Provider Enumeration Date
April 18, 2023
Last Update Date
April 18, 2023
Certification Date
April 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2510 Belmar Blvd
Wall, NJ 07719-3948
City
Wall
Zip
07719-3948
Phone Number
908-391-1694
Wall, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
2510 Belmar Blvd
Wall, NJ 07719-3948
City
Wall
State
NJ
Zip
07719-3948

License Information

Taxonomy (1)
Clinic/Center · 261Q00000X
Taxonomy (2)
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 Modern Dermatology And Cosmetic Center LLC?

The NPI number of Modern Dermatology And Cosmetic Center LLC is 1376230581. It was assigned on April 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Modern Dermatology And Cosmetic Center LLC?

Modern Dermatology And Cosmetic Center LLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Modern Dermatology And Cosmetic Center LLC practice?

The practice location is 2510 Belmar Blvd, Wall, NJ 07719-3948. The office can be reached at 908-391-1694 (phone).

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 1376230581 directly on the NPPES registry website.

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