Active NPIOrganization

Cosmetic And Dermatologic Surgery Associates LLC

Dermatology, MOHS-Micrographic Surgery in Holmdel, New Jersey

NPI Number1427355825
Practice location
719 N Beers St, Suite 2G, Holmdel, NJ 07733-1522
Fax
—
Last updated
February 21, 2011

Cosmetic And Dermatologic Surgery Associates LLC is a healthcare organization based in Holmdel, NJ. Cosmetic And Dermatologic Surgery Associates LLC practices in Holmdel, NJ. The NPI Number for Cosmetic And Dermatologic Surgery Associates LLC is 1427355825 and holds a License No. 25MA08673200 (NJ). The current practice location address for Cosmetic And Dermatologic Surgery Associates LLC is 719 N Beers St, Suite 2G, Holmdel, NJ 07733-1522 and can be reached out via phone at 802-310-0664.

Provider Profile Details

NPI Number
1427355825
Provider Name
Cosmetic And Dermatologic Surgery Associates LLC
Provider Entity Type
Organization
Address
719 N Beers St, Suite 2G, Holmdel, NJ 07733-1522
Phone Number
802-310-0664
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Organization Subpart
No
Authorized Official
Dr. Manoj Thakker, MD · Owner · 802-310-0664
Provider Enumeration Date
February 21, 2011
Last Update Date
February 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
719 N Beers St
Suite 2G
Holmdel, NJ 07733-1522
Zip
07733-1522
Phone Number
802-310-0664
Holmdel, NJ 07733Get directions →

Provider Business Mailing Address Details

Address
8 Riverside Ln
Holmdel, NJ 07733-2084
City
Holmdel
State
NJ
Zip
07733-2084
Phone Number
802-310-0664

License Information

License Number (1)
25MA08673200
License State (1)
NJ
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
25MA08673200
License State (2)
NJ
License Number (3)
25MA08829200
License State (3)
NJ
Taxonomy (3)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · 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 Cosmetic And Dermatologic Surgery Associates LLC?

The NPI number of Cosmetic And Dermatologic Surgery Associates LLC is 1427355825. It was assigned on February 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Cosmetic And Dermatologic Surgery Associates LLC?

Cosmetic And Dermatologic Surgery Associates LLC is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in NJ under license number 25MA08673200.

Where does Cosmetic And Dermatologic Surgery Associates LLC practice?

The practice location is 719 N Beers St, Suite 2G, Holmdel, NJ 07733-1522. The office can be reached at 802-310-0664 (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 1427355825 directly on the NPPES registry website.

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