ADVANCED DERMATOLOGY, P.C. (NPI# 1124109913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124109913 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY, P.C. |
| Practice Address |
570 Egg Harbor Rd Ste C1 Sewell NJ 08080-2359 |
| Mailing Address |
570 Egg Harbor Rd Suite C-1 Sewell NJ 08080-2359 |
| Practice Telephone | 8562568899 |
| Practice Fax Number | 8562568868 |
| Mailing Telephone | 8562568899 |
| Mailing Fax Number | 8562568868 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-12-29 |
| Authorized Official Name | KEHUA LI (PRESIDENT) |
| Authorized Official Telephone | 8562568899 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
25MA07893300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
25MA07893300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 25MA07893300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 31D1078763 | 01 | |
| NPI | 1124109913 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVANCED DERMATOLOGY, P.C. | Laura Bean, 6 Lowell Ave, New Hyde Park, New York 11040 |
| New York State Corporations | ADVANCED DERMATOLOGY, PLLC | 301 Hurley Ave, Kingston, New York 12491 |
| Street Address |
570 EGG HARBOR RD STE C1 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740392075 | Booth Hammond Durham | Dermatology | 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080 | 2006-08-31 |
| 1508155300 | Kelli Mayo Danowski | Dermatology | 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080-2359 | 2011-04-01 |
| 1467689018 | Catherine Helen Choi | Dermatology | 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080-2359 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740392075 | Booth Hammond Durham | Dermatology | 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080 | 2006-08-31 |
| 1013938661 | Elana Tova Segal | Dermatology | 100 Kings Way E Ste A3, Washington Pavilions, Sewell, NJ 08080-2237 | 2006-07-21 |
| 1508155300 | Kelli Mayo Danowski | Dermatology | 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080-2359 | 2011-04-01 |
| 1467689018 | Catherine Helen Choi | Dermatology | 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080-2359 | 2009-06-22 |
| 1811158298 | Rachel Bognet | Dermatology | 570 Egg Harbor Rd, Suite C-1, Sewell, NJ 08080-2359 | 2008-06-19 |
| 1922028950 | Jonathan Winter | Dermatology | 100 Kings Way E, Washington Pavilions Suite A-3, Sewell, NJ 08080-2237 | 2006-07-20 |
| 1164488417 | Kehua Li | Dermatology | 570 Egg Harbor Rd, Suite C-1, Sewell, NJ 08080-2359 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649716 | Danowski Dermatology | Dermatology | 525 Route 73 N Ste 305a, Marlton, NJ 08053-3422 | 2020-11-03 |
| 1508477399 | Consonant Healing Medical Associates of Nj LLC | Dermatology | 100 Challenger Rd # 205, Ridgefield Park, NJ 07660-2108 | 2020-08-13 |
| 1659900884 | Dermatology and Skin Care Center | Dermatology | 2301 E Evesham Rd Ste 102-103, Voorhees, NJ 08043-4501 | 2020-04-08 |
| 1467091983 | Aura Dermatology At Somerset LLC | Dermatology | 75 Veronica Ave Ste 205, Somerset, NJ 08873-5002 | 2020-01-01 |
| 1578025920 | Aura Dermatology At Robbinsville LLC | Dermatology | 17 Main St Ste 304, Robbinsville, NJ 08691-1436 | 2019-04-04 |
| 1144786740 | Swetha Kandula Md LLC | Dermatology | 3695 Hill Rd Ste 2b, Parsippany, NJ 07054-1047 | 2019-02-19 |
| 1477031318 | Wellness Dermatology LLC | Dermatology | 638 Lawrenceville Rd, Lawrenceville, NJ 08648-4208 | 2018-08-02 |
| 1871000323 | Julianna Nicole Jarvis | Dermatology | 100 Brick Rd Ste 306, Marlton, NJ 08053-2146 | 2018-01-05 |
| 1487169702 | Nj Certified Dermatology PC | Dermatology | 670 Broadway, Bayonne, NJ 07002-4726 | 2017-12-08 |
| 1407374796 | Geria Dermatology, LLC | Dermatology | 75 Orient Way Ste 204, Rutherford, NJ 07070-2086 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.