DR. JENNIFER LYNN LARUSSO (NPI# 1932360906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932360906 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN LARUSSO |
| Credential | D.O. |
| Practice Address |
771 E Route 70 Suite D150 Marlton NJ 08053-2352 |
| Mailing Address |
34 Crows Nest Ct Mount Laurel NJ 08054-6109 |
| Practice Telephone | 8565693393 |
| Practice Fax Number | 8565963394 |
| Mailing Telephone | 8562735811 |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2014-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | OS013778 | PA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
OS013778 | PA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
25MB07507100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
771 E ROUTE 70 SUITE D150 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437257458 | John Thomas Thurber | Dentist | 771 E Route 70, Suite G, Marlton, NJ 08053-2341 | 2006-09-21 |
| 1750449104 | Aesthetic Dermatology, LLC | Dermatology | 771 E Route 70, Suite D150, Marlton, NJ 08053-2352 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205991 | Skin Cancer & Mohs Surgery LLC | Dermatology | 82 E Allendale Rd Ste 8a, Saddle River, NJ 07458-3057 | 2019-10-07 |
| 1528466919 | Coastal Dermatology LLC | Dermatology | 198 Jack Martin Blvd., Brick, NJ 08724 | 2014-12-17 |
| 1578724571 | Kapila V Paghdal | Dermatology | 400 Route 17, Suite 2, Ridgewood, NJ 07450-2010 | 2008-06-23 |
| 1376724575 | American Skin and Cancer Center PC | Dermatology | 25 1st Ave Ste 113, Atlantic Highlands, NJ 07716-1285 | 2007-11-16 |
| 1104950013 | Dermatology Associates of Central New Jersey, Pa | Dermatology | 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 | 2007-03-15 |
| 1053478180 | J.barton Sterling | Dermatology | 215 Morris Ave, Spring Lake, NJ 07762-1360 | 2007-01-01 |
| 1083636898 | Christopher Bryant Kruse | Dermatology | 225 Highway 35 Ste 208, Red Bank, NJ 07701-5919 | 2006-07-24 |
| 1518900810 | Dermatology and Laser Center of Northern New Jersey LLC | Dermatology | 290 S Livingston Ave, Suite 1, Livingston, NJ 07039-3931 | 2006-06-14 |
| 1528001583 | David J Goldberg | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2006-06-14 |
| 1740237627 | Robert Basil Sollitto | Dermatology | 2 Van Buren Rd, Voorhees, NJ 08043-2370 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JENNIFER LYNN LARUSSO.
| 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.