Active NPIOrganization

Randolph Dermatology And Mohs Micrographic Surgery LLC

Dermatology, MOHS-Micrographic Surgery in Randolph, New Jersey

NPI Number1497921738
Practice location
390 Route 10 W, Suite 102, Randolph, NJ 07869-2141
Fax
973-891-1505
Last updated
August 30, 2011

Randolph Dermatology And Mohs Micrographic Surgery LLC is a healthcare organization based in Randolph, NJ. Randolph Dermatology And Mohs Micrographic Surgery LLC practices in Randolph, NJ. The NPI Number for Randolph Dermatology And Mohs Micrographic Surgery LLC is 1497921738 and holds a License No. 25MA07842 (NJ). The current practice location address for Randolph Dermatology And Mohs Micrographic Surgery LLC is 390 Route 10 W, Suite 102, Randolph, NJ 07869-2141 and can be reached out via phone at 973-366-6303 and via fax at 973-891-1505.

Provider Profile Details

NPI Number
1497921738
Provider Name
Randolph Dermatology And Mohs Micrographic Surgery LLC
Provider Entity Type
Organization
Address
390 Route 10 W, Suite 102, Randolph, NJ 07869-2141
Phone Number
973-366-6303
Fax Number
973-891-1505
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Organization Subpart
No
Authorized Official
David Najarian, MD · Owner · 732-309-2016
Provider Enumeration Date
May 6, 2008
Last Update Date
August 30, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 Route 10 W
Suite 102
Randolph, NJ 07869-2141
Zip
07869-2141
Phone Number
973-366-6303
Fax Number
973-891-1505
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
390 Route 10 W
Suite 102
Randolph, NJ 07869-2141
City
Randolph
State
NJ
Zip
07869-2141
Phone Number
973-366-6303
Fax Number
973-891-1505

License Information

License Number
25MA07842
License State
NJ
Taxonomy
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 Randolph Dermatology And Mohs Micrographic Surgery LLC?

The NPI number of Randolph Dermatology And Mohs Micrographic Surgery LLC is 1497921738. It was assigned on May 6, 2008 and is currently active in the NPPES registry.

What is the specialty of Randolph Dermatology And Mohs Micrographic Surgery LLC?

Randolph Dermatology And Mohs Micrographic Surgery LLC is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in NJ under license number 25MA07842.

Where does Randolph Dermatology And Mohs Micrographic Surgery LLC practice?

The practice location is 390 Route 10 W, Suite 102, Randolph, NJ 07869-2141. The office can be reached at 973-366-6303 (phone) or 973-891-1505 (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 1497921738 directly on the NPPES registry website.

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