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CENTER FOR DERMATOLOGY AND SKIN SURGERY LLC
NPI 1194051243
Dermatology in Paramus, NJ

Active since October 26, 2009CLIA Certified · 3 labs
1 W RIDGEWOOD AVE, SUITE 103, PARAMUS, NJ 07652(201) 385-1452 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Center For Dermatology And Skin Surgery Llc NPPES

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

CENTER FOR DERMATOLOGY AND SKIN SURGERY LLC (NPI 1194051243) is a healthcare organization registered as a dermatology in Paramus, New Jersey and active in the NPI registry since October 2009. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Michael Wiederkehr, Medical Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1194051243
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTER FOR DERMATOLOGY AND SKIN SURGERY LLC
Location Address1 W RIDGEWOOD AVE, SUITE 103Paramus, NJ 07652-2359
Mailing Address1 W Ridgewood Ave Ste 103Paramus, NJ 07652-2361
Phone(201) 385-1452
Organization SubpartNo
Authorized OfficialMichael WiederkehrMedical Doctor/owner · (201) 857-4200
Enumeration DateOctober 26, 2009
Last NPPES UpdateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1194051243 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.
1 W RIDGEWOOD AVE, Paramus, NJ 07652
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Secondary Practice Locations 2

Location 180 River St Ste 4AHoboken, NJ 07030-5619 · Phone (201) 857-4200 · Fax (201) 857-4199
Location 2217 Brook Ave Ste B108Passaic, NJ 07055-3357 · Phone (201) 857-4200 · Fax (201) 857-4199

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Dermatology And Skin Surgery 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 Center For Dermatology And Skin Surgery LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Michael Wiederkehr, MD
Dermatology
NPI 1396759783
1 W RIDGEWOOD AVE SUITE 103
Paramus, NJ 07652
(201) 857-4200
✔ PECOS✔ Accepts MedicareSame address
Carmen Garcia, MD
Dermatology
NPI 1639105331
326 FRANKLIN PL
Paramus, NJ 07652
(201) 262-1725
✔ PECOS✔ Accepts Medicare0.5 mi
Rachel Sacknovitz, FNP-C
Nurse Practitioner
NPI 1790467025
1 W RIDGEWOOD AVE STE 103
Paramus, NJ 07652
(201) 857-4200
✔ PECOS✔ Accepts Medicare1.2 mi
David Folk, M.D.
Otolaryngology
NPI 1417215971
30 W CENTURY RD STE 220
Paramus, NJ 07652
(201) 903-2727
✔ PECOS✔ Accepts Medicare2.0 mi
David Ciocon, M.D.
Dermatology
NPI 1790878866
20 PROSPECT AVE STE 702
Hackensack, NJ 07601
(201) 441-9890
✔ PECOS4.9 mi
Eduard Raklyar, M.D.
Dermatology
NPI 1790906006
47 ORIENT WAY
Rutherford, NJ 07070
(201) 460-0280
✔ PECOS✔ Accepts Medicare9.3 mi
Jack Levy, MD
Dermatology
NPI 1720512049
12 WEST 21ST STREET 6TH FLOOR
New York, NY 10010
(212) 343-2222
✔ PECOS✔ Accepts Medicare15 mi
Xuan Wang, M.D. PH.D.
Pathology
NPI 1578706032
80 CROSSWAYS PARK DR STE 100
Woodbury, NY 11797
(516) 944-3882
✔ PECOS✔ Accepts Medicare31 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 Medicare61 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 3

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 Waiver 31D2333207

Center For Dermatology And Skin Surgery Center LLC · Passaic, NJ
Active · expires Oct 30, 2027
CLIA Number31D2333207
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorMichael Wiederkehr
Laboratory Phone(201) 857-4200
Laboratory LocationCenter For Dermatology And Skin Surgery Center LLC217 Brook Avenue Ste B108, Passaic, NJ 07055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2116606

Center For Dermatology & Skin Surgery · Hoboken, NJ
Active · expires Jul 27, 2028
CLIA Number31D2116606
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2026
Certificate Expiration DateJuly 27, 2028
Laboratory DirectorMichael Wiederkehr
Laboratory Phone(201) 857-4200
Laboratory LocationCenter For Dermatology & Skin Surgery80 River St Ste 4A, Hoboken, NJ 07030
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 31D2001550

Center For Dermatology & Skin Surgery, LLC · Paramus, NJ
Active · expires Sep 11, 2027
CLIA Number31D2001550
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorEduard Raklyar
Laboratory Phone(201) 857-4200
Laboratory LocationCenter For Dermatology & Skin Surgery, LLC1 West Ridgewood Avenue Suite 103, Paramus, NJ 07652
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 Center For Dermatology And Skin Surgery LLC's NPI number?

The NPI number for Center For Dermatology And Skin Surgery LLC is 1194051243. It was assigned to this organization in the NPPES registry on October 26, 2009.

Where is Center For Dermatology And Skin Surgery LLC located?

Center For Dermatology And Skin Surgery LLC is located at 1 W Ridgewood Ave Suite 103, Paramus, NJ 07652. The listed phone number is (201) 385-1452.

What is Center For Dermatology And Skin Surgery LLC's specialty?

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

Is Center For Dermatology And Skin Surgery LLC enrolled in Medicare?

Yes. Center For Dermatology And Skin Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Dermatology And Skin Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Center For Dermatology And Skin Surgery LLC. 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), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Dermatology And Skin Surgery LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Center For Dermatology And Skin Surgery LLC accept?

Health plans from Oscar Health list Center For Dermatology And Skin Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Center For Dermatology And Skin Surgery LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.