DERMATOLOGY AND LASER CENTER PA (NPI# 1780894428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780894428 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY AND LASER CENTER PA |
| Practice Address |
279 Third Avenue Suite 603 Long Branch NJ 07740-6205 |
| Mailing Address |
Po Box 18751 Newark NJ 07191-8751 |
| Practice Telephone | 7322228323 |
| Practice Fax Number | 7328709488 |
| Mailing Telephone | 7322228323 |
| Mailing Fax Number | 7328709488 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | BENJAMIN COHEN (OWNER) |
| Authorized Official Telephone | 7322228323 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
25MA06221000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH | 0675790000 | 01 |
| Street Address |
279 THIRD AVENUE SUITE 603 |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301085 | Benjamin Cohen | Dermatology | 279 Third Avenue, Suite 603, Long Branch, NJ 07740-6205 | 2005-10-21 |
| 1316008782 | Monmouth Radiologists Pa | Radiology | 279 Third Avenue, # 403, Long Branch, NJ 07740-5237 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529637 | K Dermatology & Aesthetic Center LLC | Dermatology | 340 State Route 34, Colts Neck, NJ 07722-2433 | 2020-05-15 |
| 1457798134 | Charles Frederic Lortie | Dermatology | 182 South Street Suite 1, Affiliated Dermatologists & Dematologic Surgeons, Morristown, NJ 07960 | 2013-06-04 |
| 1861838484 | Dermatology Group of Central New Jersey Pa | Dermatology | 3 Monroe Street, Bridgewater, NJ 08807-3001 | 2013-05-22 |
| 1972861102 | Ashley Decker | Dermatology | 10000 Sagemore Dr Ste 10103, Marlton, NJ 08053-3944 | 2012-04-25 |
| 1114151321 | Dawn Marie Gangi | Dermatology | 6 E Main Street, Mendham, NJ 07945 | 2009-05-04 |
| 1134397979 | John A Erianne M.d P.a. | Dermatology | 3285 Jfk Blvd, Jersey City, NJ 07307-4228 | 2008-02-14 |
| 1912069394 | Albert Ades | Dermatology | 129 Madison Ave, Cresskill, NJ 07626-2014 | 2006-12-14 |
| 1124100565 | Naomi Lawrence | Dermatology | 10000 Sagemore Dr, Suite 10103, Marlton, NJ 08053-3944 | 2006-10-19 |
| 1528155900 | Frank Kern | Dermatology | 2201 Bayshore Ave, Brigantine, NJ 08203-1927 | 2006-10-06 |
| 1326132150 | Karen Rebecca Suchin | Dermatology | 24 Kings Hwy W, Haddonfield, NJ 08033-2111 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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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.