SUNWISE DERMATOLOGY & SURGERY LLC
NPI 1386160059
Dermatology - MOHS-Micrographic Surgery in Middletown, DE

Active since August 15, 2017
102 SLEEPY HOLLOW DR STE 203, MIDDLETOWN, DE 19709(856) 816-2934 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

About Sunwise Dermatology & Surgery Llc NPPES

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

SUNWISE DERMATOLOGY & SURGERY LLC (NPI 1386160059) is a healthcare organization registered as a mohs-micrographic surgery in Middletown, Delaware and active in the NPI registry since August 2017. The organization lists Jennifer Larusso, Owner, as its authorized official.

NPPES Registry Identity

NPI1386160059
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSUNWISE DERMATOLOGY & SURGERY LLC
Location Address102 SLEEPY HOLLOW DR STE 203Middletown, DE 19709-5841
Mailing Address102 Sleepy Hollow Dr Ste 203Middletown, DE 19709-5841 · (856) 816-2934
Organization SubpartNo
Authorized OfficialJennifer LarussoOwner · (856) 816-2934
Enumeration DateAugust 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1386160059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in DE · 2017605796
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
102 SLEEPY HOLLOW DR STE 203, Middletown, DE 19709

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunwise Dermatology & Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sunwise Dermatology & Surgery LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1790322345
102 SLEEPY HOLLOW DR
Middletown, DE 19709
(302) 364-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518574490
4501 OGLETOWN STANTON ROAD
Newark, DE 19713
(302) 322-3400
✔ PECOS✔ Accepts Medicare16 mi
Dermatology
NPI 1124464201
537 STANTON CHRISTIANA RD STE 207
Newark, DE 19713
(302) 633-7550
✔ PECOS✔ Accepts Medicare17 mi
Dermatology
NPI 1932360906
771 E ROUTE 70 SUITE D150
Marlton, NJ 08053
(856) 569-3393
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sunwise Dermatology & Surgery LLC's NPI number?

The NPI number for Sunwise Dermatology & Surgery LLC is 1386160059. It was assigned to this organization in the NPPES registry on August 15, 2017.

Where is Sunwise Dermatology & Surgery LLC located?

Sunwise Dermatology & Surgery LLC is located at 102 Sleepy Hollow Dr Ste 203, Middletown, DE 19709. The listed phone number is (856) 816-2934.

What is Sunwise Dermatology & Surgery LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Sunwise Dermatology & Surgery LLC enrolled in Medicare?

Yes. Sunwise Dermatology & Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunwise Dermatology & Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Sunwise Dermatology & Surgery LLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sunwise Dermatology & Surgery LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Sunwise Dermatology & 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 Sunwise Dermatology & Surgery LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.