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DR. JUAN GUILLERMO VAILLANT
NPI 1063509651
Dermatology in Old Bridge, NJ

Active since October 06, 2006PECOS Enrolled
40 THROCKMORTON LN, OLD BRIDGE, NJ 08857(732) 679-0222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan Guillermo Vaillant NPPES

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

DR. JUAN GUILLERMO VAILLANT (NPI 1063509651) is an individual dermatology provider in Old Bridge, New Jersey, licensed in New York (134403) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063509651
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JUAN GUILLERMO VAILLANT
Location Address40 THROCKMORTON LNOld Bridge, NJ 08857-2520
Mailing Address123 Hampton AveBrooklyn, NY 11235-4132 · (718) 891-9373
Phone(732) 679-0222
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063509651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 134403
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.
40 THROCKMORTON LN, Old Bridge, NJ 08857
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Other Names 1

Former Name (1)Dr. Juan Vaillant Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juan Guillermo Vaillant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services42 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DERMATOLOGY ASSOCIATES OF NEW JERSEY
Dermatology
40 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-0222
DR. MARTIN ALAN KUGEL D.D.S.
Dentist (General Practice)
40 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-9550

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 Juan Vaillant's NPI number?

The NPI number for Juan Vaillant is 1063509651. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Dr. Juan Vaillant MD.

Where is Juan Vaillant located?

Juan Vaillant practices at 40 Throckmorton Ln, Old Bridge, NJ 08857. The listed phone number is (732) 679-0222.

What is Juan Vaillant's specialty?

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

Is Juan Vaillant enrolled in Medicare?

Yes. Juan Vaillant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Vaillant was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.