DERMATOLOGY & SKIN SURGERY CENTER OF PRINCETON LLC
NPI 1386981884
Dermatology - MOHS-Micrographic Surgery in Princeton, NJ

Q: What is Dermatology & Skin Surgery Center Of Princeton LLC's specialty?

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

Active since January 04, 2013CLIA 31D0996150 · Certificate of Compliance

8 FORRESTAL RD S STE 202, PRINCETON, NJ 08540(609) 799-6222(609) 799-6555 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dermatology & Skin Surgery Center Of Princeton Llc NPPES

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

DERMATOLOGY & SKIN SURGERY CENTER OF PRINCETON LLC (NPI 1386981884) is a healthcare organization registered as a mohs-micrographic surgery in Princeton, New Jersey and active in the NPI registry since January 2013. The organization holds a CLIA Certificate of Compliance certificate valid through June 19, 2028 and lists John E Vine, Owner, as its authorized official.

NPPES Registry Identity

NPI1386981884

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameDERMATOLOGY & SKIN SURGERY CENTER OF PRINCETON LLC

Location Address8 FORRESTAL RD S STE 202Princeton, NJ 08540-6658

Mailing Address8 Forrestal Rd S Ste 202Princeton, NJ 08540-6658 · (609) 799-6222 · Fax (609) 799-6555

Phone(609) 799-6222

Fax(609) 799-6555

Organization SubpartNo

Authorized OfficialJohn E VineOwner · (609) 799-6222

Enumeration DateJanuary 4, 2013

Last NPPES UpdateFebruary 25, 2025

NPPES CertifiedFebruary 25, 2025

✔ NPI 1386981884 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 NJ · 25MA06571600

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.

8 FORRESTAL RD S STE 202, Princeton, NJ 08540

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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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology & Skin Surgery Center Of Princeton LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

John Vine, M.D.

Dermatology

NPI 1720044670

8 FORRESTAL RD S STE 460
Princeton, NJ 08540

(609) 799-6222

✔ PECOS✔ Accepts Medicare1.3 mi

Ezra Hazan

Dermatology

NPI 1649666975

7901 4TH AVE
Brooklyn, NY 11209

(718) 491-5800

✔ PECOS✔ Accepts Medicare39 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 31D0996150

Dermatology & Skin Surgery Center Of Princeton, LLC · Princeton, NJ

Active · expires Jun 19, 2028

CLIA Number31D0996150

Laboratory TypePhysician Office

Certificate Effective DateJune 20, 2026

Certificate Expiration DateJune 19, 2028

Laboratory DirectorJohn E. Vine

Laboratory Phone(609) 799-6222

Laboratory LocationDermatology & Skin Surgery Center Of Princeton, LLC8 Forrestal Road South Suite 202, Princeton, NJ 08540

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.

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 Dermatology & Skin Surgery Center Of Princeton LLC's NPI number?

The NPI number for Dermatology & Skin Surgery Center Of Princeton LLC is 1386981884. It was assigned to this organization in the NPPES registry on January 4, 2013.

Where is Dermatology & Skin Surgery Center Of Princeton LLC located?

Dermatology & Skin Surgery Center Of Princeton LLC is located at 8 Forrestal Rd S Ste 202, Princeton, NJ 08540. The listed phone number is (609) 799-6222.

What is Dermatology & Skin Surgery Center Of Princeton LLC's specialty?

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

Is Dermatology & Skin Surgery Center Of Princeton LLC enrolled in Medicare?

Yes. Dermatology & Skin Surgery Center Of Princeton LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology & Skin Surgery Center Of Princeton LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology & Skin Surgery Center Of Princeton 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology & Skin Surgery Center Of Princeton LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0996150) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology & Skin Surgery Center Of Princeton LLC accept?

Health plans from Oscar Health list Dermatology & Skin Surgery Center Of Princeton 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 Dermatology & Skin Surgery Center Of Princeton LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.