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ADVANCED DERMATOLOGY, P.C.
NPI 1124109913
Dermatology in Sewell, NJ

Active since October 18, 2006CLIA 31D1078763 · Certificate of Compliance
570 EGG HARBOR RD STE C1, SEWELL, NJ 08080(856) 256-8899(856) 256-8868 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dermatology, P.c. NPPES

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

ADVANCED DERMATOLOGY, P.C. (NPI 1124109913) is a healthcare organization registered as a dermatology in Sewell, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 28, 2028 and lists Kehua Li, President, as its authorized official.

NPPES Registry Identity

NPI1124109913
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY, P.C.
Location Address570 EGG HARBOR RD STE C1Sewell, NJ 08080-2359
Mailing Address570 Egg Harbor Rd, Suite C-1Sewell, NJ 08080-2359 · (856) 256-8899 · Fax (856) 256-8868
Phone(856) 256-8899
Fax(856) 256-8868
Organization SubpartNo
Authorized OfficialKehua LiPresident · (856) 256-8899
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 3, 2025
NPPES CertifiedAugust 3, 2025
✔ NPI 1124109913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MA07893300
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 · License 25MA07893300 (NJ)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 25MA07893300 (NJ)
570 EGG HARBOR RD STE C1, Sewell, NJ 08080
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Other Identifiers 2

Other1124109913Npi
Other31D1078763Clia

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 MULTIPLE 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 31D1078763

Advanced Dermatology, PC · Sewell, NJ
Active · expires May 28, 2028
CLIA Number31D1078763
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorKehua Li
Laboratory Phone(856) 256-8899
Laboratory LocationAdvanced Dermatology, PC570 Egg Harbor Road Suite C-1, Sewell, NJ 08080
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.

Other Providers at the Same Location NPPES 3

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

BOOTH HAMMOND DURHAM MD
Dermatology
570 EGG HARBOR RD STE C1
SEWELL, NJ 08080
Gloucester County (856) 256-8899
MEGAN A BOYCE CRNP
Nurse Practitioner
570 EGG HARBOR RD STE C1
SEWELL, NJ 08080
Gloucester County (856) 256-8899
BIRGIT K TOOME MD
Dermatology
570 EGG HARBOR RD STE C1
SEWELL, NJ 08080
Gloucester County (856) 256-8899

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 Advanced Dermatology, P.C.'s NPI number?

The NPI number for Advanced Dermatology, P.C. is 1124109913. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Advanced Dermatology, P.C. located?

Advanced Dermatology, P.C. is located at 570 Egg Harbor Rd Ste C1, Sewell, NJ 08080. The listed phone number is (856) 256-8899.

What is Advanced Dermatology, P.C.'s specialty?

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

Does Advanced Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D1078763) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology, P.C. was last updated on August 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.