ADVANCED DERMATOLOGY LASER AND MOHS SURGERY CENTER - NPI 1164416301

Q: What is Advanced Dermatology Laser And Mohs Surgery Center's specialty?

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

On this page

About Advanced Dermatology Laser And Mohs Surgery Center NPPES

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

ADVANCED DERMATOLOGY LASER AND MOHS SURGERY CENTER (NPI 1164416301) is a healthcare organization registered as a procedural dermatology in Westfield, New Jersey and active in the NPI registry since September 2005. The organization holds a CLIA Certificate of Compliance certificate valid through April 11, 2027 and lists Jerold Bruce Graff, President, as its authorized official.

NPPES Registry Identity

NPI1164416301

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameADVANCED DERMATOLOGY LASER AND MOHS SURGERY CENTER

Location Address240 E GROVE STWestfield, NJ 07090-1687

Mailing Address240 E Grove StWestfield, NJ 07090-1687 · (908) 232-6446 · Fax (908) 232-6447

Phone(908) 232-6446

Fax(908) 232-6447

Organization SubpartNo

Authorized OfficialJerold Bruce GraffPresident · (908) 232-6446

Enumeration DateSeptember 2, 2005

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1164416301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

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).

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

240 E GROVE ST, Westfield, NJ 07090

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 31D0107596

Advanced Dermatology Mohs And Laser Surgery Center PA · Westfield, NJ

Active · expires Apr 11, 2027

CLIA Number31D0107596

Laboratory TypePhysician Office

Certificate Effective DateApril 12, 2025

Certificate Expiration DateApril 11, 2027

Laboratory DirectorSabatino Ciatti

Laboratory Phone(908) 232-7235

Laboratory LocationAdvanced Dermatology Mohs And Laser Surgery Center PA240 East Grove Street, Westfield, NJ 07090

CLIA data matches this NPI record on: Address

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 8

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

DR. JEROLD BRUCE GRAFF MD

Dermatology