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ADVANCED DERMATOLOGY SURGERY CENTER
NPI 1144657164
Dermatology - Procedural Dermatology in Tinton Falls, NJ

Active since October 04, 2013
4 HARTFORD DR, SUITE 3, TINTON FALLS, NJ 07701(732) 933-8500(732) 933-4177 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dermatology Surgery Center NPPES

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

ADVANCED DERMATOLOGY SURGERY CENTER (NPI 1144657164) is a healthcare organization registered as a procedural dermatology in Tinton Falls, New Jersey and active in the NPI registry since October 2013. The organization lists Glenn Kolansky, Owner, as its authorized official.

NPPES Registry Identity

NPI1144657164
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameADVANCED DERMATOLOGY SURGERY CENTER
Location Address4 HARTFORD DR, SUITE 3Tinton Falls, NJ 07701-4929
Mailing Address4 Hartford Dr, Suite 3Tinton Falls, NJ 07701-4929 · (732) 933-8500 · Fax (732) 933-4177
Phone(732) 933-8500
Fax(732) 933-4177
Organization SubpartNo
Authorized OfficialGlenn KolanskyOwner · (732) 933-8500
Enumeration DateOctober 4, 2013
Last NPPES UpdateMay 5, 2015
✔ NPI 1144657164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NJ · 25MA06217900
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
4 HARTFORD DR, Tinton Falls, NJ 07701
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Other Identifiers 1

Medicare UPINF57665NJ

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 31D0911125

Advanced Dermatology Surgery Center PC · Tinton Falls, NJ
Expired · Jul 31, 2026
CLIA Number31D0911125
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorGlenn Kolansky
Laboratory Phone(732) 933-8500
Laboratory LocationAdvanced Dermatology Surgery Center PC4 Hartford Drive, Tinton Falls, NJ 07701
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 11

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

MUNG LO FNP-C
Nurse Practitioner (Family)
4 HARTFORD DR
TINTON FALLS, NJ 07701
Monmouth County (732) 740-3600
DR. RAJNEY MONICA BAIS MD
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Monmouth County (732) 741-3600
JOSEPH G BOAK JR. MD
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Monmouth County (732) 741-3600
DIANE M HENDERIKS R.D.
Dietitian, Registered
4 HARTFORD DR
TINTON FALLS, NJ 07701
Monmouth County (732) 922-6269
MISS NICOLE BARONE APN
Nurse Practitioner (Family)
4 HARTFORD DR, STE 1
TINTON FALLS, NJ 07701
Monmouth County (732) 741-3600
THADDEUS J GRABOWY MD
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Monmouth County (732) 741-3600
STEPHEN S JUREWICZ MD
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Monmouth County (732) 741-3600
BRIDGET G WILLIG MSN, APN
Nurse Practitioner
4 HARTFORD DR, SUITE 1
TINTON FALLS, NJ 07701
Monmouth County (732) 741-3600

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 Surgery Center's NPI number?

The NPI number for Advanced Dermatology Surgery Center is 1144657164. It was assigned to this organization in the NPPES registry on October 4, 2013.

Where is Advanced Dermatology Surgery Center located?

Advanced Dermatology Surgery Center is located at 4 Hartford Dr Suite 3, Tinton Falls, NJ 07701. The listed phone number is (732) 933-8500.

What is Advanced Dermatology Surgery Center's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Surgery Center was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.