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NJ CERTIFIED DERMATOLOGY PC
NPI 1003263807
Dermatology in Neptune, NJ

Active since May 21, 2016CLIA Certified · 4 labs
26 HIGHWAY 35 N, NEPTUNE, NJ 07753(732) 456-7777(732) 797-9110 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Mar 3, 2025, Jun 15, 2023 and 5 more (8 updates tracked since 2016).

About Nj Certified Dermatology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NJ CERTIFIED DERMATOLOGY PC (NPI 1003263807) is a healthcare organization registered as a dermatology in Neptune, New Jersey and active in the NPI registry since May 2016. The organization holds 4 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Lawrence L Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003263807
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNJ CERTIFIED DERMATOLOGY PC
Location Address26 HIGHWAY 35 NNeptune, NJ 07753-4743
Mailing Address1580 Lakewood Rd, Unit 16Toms River, NJ 08755-3287 · (732) 456-7777
Phone(732) 456-7777
Fax(732) 797-9110
Organization SubpartNo
Authorized OfficialLawrence L AndersonOwner · (903) 521-6143
Enumeration DateMay 21, 2016
Last NPPES UpdateDecember 4, 20258 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1003263807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
26 HIGHWAY 35 N, Neptune, NJ 07753
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12275 Route 33 Ste 303Hamilton, NJ 08690-1748 · Phone (732) 456-7777 · Fax (848) 251-2189
Location 2721 N Beers St Ste 1C-1DHolmdel, NJ 07733-1518 · Phone (732) 456-7777

Other Identifiers 2

Other517245NJ · Medicare Ptan
Medicaid0579912NJ

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nj Certified Dermatology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Nj Certified Dermatology PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner20
Dermatology16
Pathology4
Micrographic Dermatologic Surgery (MDS)2
Family Practice1

Nearest to this location (20)

See all 43
Lisa Ledden, NP
Nurse Practitioner
NPI 1376584474
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOSSame address
Manhong Ma, MD
Dermatology
NPI 1164472965
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Elsie Rivera, NP
Nurse Practitioner
NPI 1770873382
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOSSame address
Shazia Saif, MD
Dermatology
NPI 1720092141
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Patricia Tager, MD
Dermatology
NPI 1841240637
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Prabhas Trivedi, MD
Dermatology
NPI 1902856834
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Rami Geffner, MD
Dermatology
NPI 1366491110
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Lanciano, FNP
Nurse Practitioner
NPI 1417514357
26 HIGHWAY 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Donna Yanusz, NP
Nurse Practitioner
NPI 1902855349
26 ROUTE 35 N
Neptune, NJ 07753
(732) 456-7777
✔ PECOS✔ Accepts MedicareSame address
Larissa Lobato, N.P.
Nurse Practitioner
NPI 1023367166
750 BROAD ST STE 104
Shrewsbury, NJ 07702
(732) 687-9212
✔ PECOS✔ Accepts Medicare8.2 mi
Aryay Gefen
Nurse Practitioner
NPI 1962884791
15 SCHOOL RD E SUITE 2
Marlboro, NJ 07746
(732) 866-9922
✔ PECOS✔ Accepts Medicare14 mi
Deanna Miller, NP
Nurse Practitioner
NPI 1043800758
479 COUNTY RTE 520 SUITE 101-B BUILDING B
Marlboro, NJ 07746
(732) 856-5999
✔ PECOS14 mi
Sunita Borade, NP
Nurse Practitioner
NPI 1750044145
1580 LAKEWOOD RD STE 16A
Toms River, NJ 08755
(732) 966-5493
✔ PECOS✔ Accepts Medicare17 mi
Amin Maghari, M.D.
Pathology
NPI 1528209046
1580 LAKEWOOD RD
Toms River, NJ 08755
(973) 820-7734
✔ PECOS✔ Accepts Medicare17 mi
Batsheva Follman
Nurse Practitioner
NPI 1467112722
5 EMMA LN
Jackson, NJ 08527
(732) 703-1289
✔ PECOS17 mi
Devin Bove, FNP
Nurse Practitioner
NPI 1679331185
1178 RTE 37 W
Toms River, NJ 08755
(609) 926-8899
✔ PECOS✔ Accepts Medicare20 mi
Melissa Dixon, MD
Dermatology
NPI 1891745790
111 W WATER ST
Toms River, NJ 08753
(732) 244-4700
✔ PECOS✔ Accepts Medicare20 mi
Vickie Sidwa, APN, C.
Nurse Practitioner
NPI 1912088972
1043 MONTAUK DR
Forked River, NJ 08731
(609) 339-5667
✔ PECOS26 mi
Peter Lapis, M.D.
Pathology
NPI 1164604153
540 LACEY RD STE 2B
Forked River, NJ 08731
(732) 456-7777
✔ PECOS✔ Accepts Medicare26 mi
Yaritza Serrano Gomez, MD
Dermatology
NPI 1376030015
668 BROADWAY
Bayonne, NJ 07002
(732) 456-7777
✔ PECOS✔ Accepts Medicare32 mi
See all 43 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D1061774

Nj Certified Dermatology, PC · Holmdel, NJ
Active · expires Feb 14, 2028
CLIA Number31D1061774
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorShreya Patel
Laboratory Phone(732) 456-7777
Laboratory LocationNj Certified Dermatology, PC721 N Beers St Suite 1C, Holmdel, NJ 07733
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 31D2043828

Nj Certified Dermatology PC · Bayonne, NJ
Active · expires May 21, 2028
CLIA Number31D2043828
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorPeter Lapis
Laboratory Phone(732) 456-7777
Laboratory LocationNj Certified Dermatology PC668-670 Broadway, Bayonne, NJ 07002
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 31D2068840

Nj Certified Dermatology · Mantua, NJ
Active · expires Apr 15, 2028
CLIA Number31D2068840
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorBrian Cahn
Laboratory Phone(732) 456-7777
Laboratory LocationNj Certified Dermatology1141 Mantua Pike, Mantua, NJ 08051
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 31D2151571

Nj Certified Dermatology PC · Jackson, NJ
Active · expires Apr 4, 2027
CLIA Number31D2151571
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorBrian Cahn
Laboratory Phone(732) 456-7777
Laboratory LocationNj Certified Dermatology PC271 S New Prospect Rd, Jackson, NJ 08527
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 31D2020028

Nj Certified Dermatology PC · Galloway Township, NJ
Expired · Sep 30, 2026
CLIA Number31D2020028
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorBrian Cahn
Laboratory Phone(732) 456-7777
Laboratory LocationNj Certified Dermatology PC123 W White Horse Pike, Galloway Township, NJ 08205
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nj Certified Dermatology PC's NPI number?

The NPI number for Nj Certified Dermatology PC is 1003263807. It was assigned to this organization in the NPPES registry on May 21, 2016.

Where is Nj Certified Dermatology PC located?

Nj Certified Dermatology PC is located at 26 Highway 35 N, Neptune, NJ 07753. The listed phone number is (732) 456-7777.

What is Nj Certified Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nj Certified Dermatology PC enrolled in Medicare?

Yes. Nj Certified Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nj Certified Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 5 Medicare specialties reassign their Medicare billing to Nj Certified Dermatology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Dermatology (16) and Pathology (4). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nj Certified Dermatology PC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Nj Certified Dermatology PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Nj Certified Dermatology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nj Certified Dermatology PC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.