ADVANCED DERMATOLOGY & SKIN SURGERY, PC - NPI 1023044724

Q: What is Advanced Dermatology & Skin Surgery, PC's specialty?

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

On this page

About Advanced Dermatology & Skin Surgery, Pc NPPES

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

ADVANCED DERMATOLOGY & SKIN SURGERY, PC (NPI 1023044724) is a healthcare organization registered as a dermatology in Lakewood, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 13, 2027 and lists Mordechai M Tarlow, President, as its authorized official.

NPPES Registry Identity

NPI1023044724

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameADVANCED DERMATOLOGY & SKIN SURGERY, PC

Location Address886 RIVER AVELakewood, NJ 08701-5220

Mailing Address886 River AveLakewood, NJ 08701-5220 · (732) 905-9200

Phone(732) 905-9200

Organization SubpartNo

Authorized OfficialMordechai M TarlowPresident · (732) 905-9200

Enumeration DateJune 24, 2006

Last NPPES UpdateJune 25, 2013

✔ NPI 1023044724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NJ · 25MA07911600

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.

886 RIVER AVE, Lakewood, NJ 08701

Open in Google Maps ↗

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

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 31D1063332

Advanced Dermatology & Skin Surgery PC · Lakewood, NJ

Active · expires May 13, 2027

CLIA Number31D1063332

Laboratory TypePhysician Office

Certificate Effective DateMay 14, 2025

Certificate Expiration DateMay 13, 2027

Laboratory DirectorMordechai M. Tarlow

Laboratory Phone(732) 905-9200

Laboratory LocationAdvanced Dermatology & Skin Surgery PC456 Chestnut Street Suite 201, Lakewood, NJ 08701

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOSHANA RAIZEL SNOW OTR-L

Occupational Therapist