Sandra D Elder (NPI# 1538122668, PAC ID# 5799699856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1538122668 |
PAC ID by PECOS | 5799699856 |
Professional Enrollment ID | I20031113000714 |
Full Name | Sandra D Elder |
Organization Legal Name | AESTHETIC DERMATOLOGY LLC |
Address |
771 Route 70 E Suite D150 Marlton NJ 08053-2352 |
Phone Number | 8565963393 |
Gender | F |
Credential | MD |
Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
Graduation Year | 1988 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 2668437013 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
771 Route 70 E, Suite D150, Marlton, NJ 08053-2352 | 8565963393 | AESTHETIC DERMATOLOGY LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 96% | |
MIPS_EC_138_overall | Melanoma: Coordination of Care | 100% | |
MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_265_overall | Biopsy Follow-Up | 82% |
Organization Legal Name | AESTHETIC DERMATOLOGY LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andriy Pavlenko | Pathology | Aesthetic Dermatology LLC | 771 Route 70 E, Suite D150, Marlton, NJ 08053-2352 |
Street Address |
771 ROUTE 70 E SUITE D150 |
City | MARLTON |
State | NJ |
Zip | 08053-2352 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andriy Pavlenko | Pathology | Aesthetic Dermatology LLC | 771 Route 70 E, Suite D150, Marlton, NJ 08053-2352 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dinaz Homi Italia | Registered Dietitian Or Nutrition Professional | 750 Route 73 S 309a, Marlton, NJ 08053 | |
Latifah Dosunmu-oparison | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Christopher E Zupsic | Optometry | 928 Greentree Sq, Marlton, NJ 08053 | |
Diane Goldblum-graff | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Khalid M Bajwa | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Denise Owen Fabricius | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Andrea Cochran | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Thomas J Campo | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Shayla J Edwards | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Ann Farrow | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
Find all physicians in zip 08053 |
City | MARLTON |
Zip Code | 08053 |
Specialty | DERMATOLOGY |
City + Specialty | MARLTON + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.