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ADVANCED LASER & SKIN CANCER CTR LLC
NPI 1124138995
Dermatology in Teaneck, NJ

Active since August 30, 2006CLIA 31D0682950 · Certificate of Compliance
870 PALISADE AVENUE, SUITE 302, TEANECK, NJ 07666(201) 836-9696 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Laser & Skin Cancer Ctr Llc NPPES

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

ADVANCED LASER & SKIN CANCER CTR LLC (NPI 1124138995) is a healthcare organization registered as a dermatology in Teaneck, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 12, 2027 and lists Gangaram Ragi, Member, as its authorized official.

NPPES Registry Identity

NPI1124138995
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGANGARAM RAGI
Location Address870 PALISADE AVENUE, SUITE 302Teaneck, NJ 07666-3446
Mailing Address870 Palisade Avenue, Suite 302Teaneck, NJ 07666-3446 · (201) 836-9696
Phone(201) 836-9696
Organization SubpartNo
Authorized OfficialGangaram RagiMember · (201) 836-9696
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 30, 2014
✔ NPI 1124138995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
870 PALISADE AVENUE, Teaneck, NJ 07666
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Other Names 1

Doing Business AsAdvanced Laser & Skin Cancer Ctr Llc

Other Identifiers 1

Medicare PIN234773NJ

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Laser & Skin Cancer Ctr Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Laser & Skin Cancer Ctr LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Alyssa Nelson, AGNP-C
Nurse Practitioner
NPI 1821961558
870 PALISADE AVE STE 302
Teaneck, NJ 07666
(201) 836-9696
✔ PECOS✔ Accepts MedicareSame address
Olesya Ilashuk
Nurse Practitioner
NPI 1871153338
870 PALISADE AVE STE 302
Teaneck, NJ 07666
(201) 836-9696
✔ PECOS✔ Accepts MedicareSame address
Katelyn Luter, NP
Nurse Practitioner
NPI 1770923336
870 PALISADE AVE STE 302
Teaneck, NJ 07666
(201) 836-9696
✔ PECOSSame address
Gangaram Ragi, MD
Dermatology
NPI 1801906680
870 PALISADE AVE SUITE 302
Teaneck, NJ 07666
(201) 836-9696
✔ PECOS✔ Accepts MedicareSame address
Henry Heaton, M.D.
Dermatology
NPI 1053798900
214 SULLIVAN ST
New York, NY 10012
(212) 385-3700
✔ PECOS✔ Accepts Medicare11 mi
Swetha Kandula, MD
Dermatology
NPI 1861604795
3695 HILL ROAD, SUITE 2B
Parsippany, NJ 07054
(973) 658-7546
✔ PECOS✔ Accepts Medicare22 mi
Adriana Lombardi, M.D.
Dermatology
NPI 1689938805
10 PARSONAGE RD STE 312
Edison, NJ 08837
(732) 515-5182
✔ PECOS✔ Accepts Medicare29 mi
Neal Varughese, M.D.
Dermatology
NPI 1144510298
63 CHURCH ST
Flemington, NJ 08822
(908) 237-4124
✔ PECOS✔ Accepts Medicare51 mi
Marc Handler, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1376854836
1700 WHITEHORSE HAMILTON SQUARE RD STE D1
Hamilton, NJ 08690
(609) 890-2600
✔ PECOS✔ Accepts Medicare58 mi

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

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 31D0682950

Advanced Laser And Skin Cancer Center, LLC · Teaneck, NJ
Active · expires Jan 12, 2027
CLIA Number31D0682950
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorGangaram Ragi
Laboratory Phone(201) 836-9696
Laboratory LocationAdvanced Laser And Skin Cancer Center, LLC870 Palisade Avenue, Suite 302 The Doctors Building, Teaneck, NJ 07666
CLIA data matches this NPI record on: Address 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 Gangaram Ragi's NPI number?

The NPI number for Gangaram Ragi is 1124138995. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Advanced Laser & Skin Cancer Ctr LLC.

Where is Gangaram Ragi located?

Gangaram Ragi is located at 870 Palisade Avenue Suite 302, Teaneck, NJ 07666. The listed phone number is (201) 836-9696.

What is Gangaram Ragi's specialty?

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

Is Gangaram Ragi enrolled in Medicare?

Yes. Gangaram Ragi is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gangaram Ragi?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Gangaram Ragi. 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 Dermatology (5), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gangaram Ragi hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0682950) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gangaram Ragi was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.