K DERMATOLOGY & AESTHETIC CENTER LLC (NPI# 1912529637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912529637 |
| Entity Type | Organization |
| Organization Name | K DERMATOLOGY & AESTHETIC CENTER LLC |
| Practice Address |
340 State Route 34 Colts Neck NJ 07722-2433 |
| Practice Telephone | 3124015430 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | SAIRAH KHOKHER (MD/OWNER) |
| Authorized Official Telephone | 3124015430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Street Address |
340 STATE ROUTE 34 |
| City | COLTS NECK |
| State | NJ |
| Zip Code | 07722-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407379191 | Elena Marie Kochanek | Psychologist | 415 Highway 34, Suite 116, Colts Neck, NJ 07722 | 2017-07-25 |
| 1356890057 | Lauren Punzone | Nurse Practitioner | 12 Country Club Ln, Colts Neck, NJ 07722 | 2016-09-23 |
| 1922440627 | Vimax LLC | Clinic/Center | 6 Cornwall St., Colts Neck, NJ 07722 | 2013-07-23 |
| 1689923914 | Patricia Sobal | Behavioral Analyst | 12 Mulberry Lane, Colts Neck, NJ 07722 | 2012-08-31 |
| 1538414776 | Marsha E Bodus | Registered Nurse | 201 Route 34 South, Bldg C-3, Colts Neck, NJ 07722 | 2012-07-13 |
| 1104116649 | Andrew Gerard Fischer | Dentist | 340 Route 34 South, Suite 204, Colts Neck, NJ 07722 | 2011-04-18 |
| 1891961744 | Gloria Yrizarry Tillmann | Psychologist | 14 Red Hawk Rd No, Colts Neck, NJ 07722 | 2008-05-01 |
| 1225214604 | Reflections @ Colts Neck | Assisted Living Facility | 3 Meridian Circle, Colts Neck, NJ 07722 | 2008-01-15 |
| 1255462552 | Judith Ann Kramer | Psychologist | 29 State Highway #34, Colts Neck, NJ 07722 | 2007-03-08 |
| 1164567467 | Harlene Joy Ross | Social Worker | 29 Highway 34, Colts Neck Consulting Group, Colts Neck, NJ 07722 | 2007-02-21 |
| Find all providers in zip 07722 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1629161989 | Jeffrey Alan Rapaport | Dermatology | 333 Sylvan Ave, Suite 207, Englewood Cliffs, NJ 07632-2724 | 2006-10-01 |
| Find all providers with the same taxonomy | ||||
| City | COLTS NECK |
| Zip Code | 07722 |
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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.