COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC
NPI 1427355825
Dermatology - MOHS-Micrographic Surgery in Holmdel, NJ

NPI Status: Active since February 21, 2011

Contact Information

719 N BEERS ST
SUITE 2G
HOLMDEL, NJ
ZIP 07733
Phone: (802) 310-0664

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 31D2023248
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-21-2027

About COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Cosmetic And Dermatologic Surgery Associates Llc, a provider established in Holmdel, New Jersey operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1427355825 assigned on February 2011. The practitioner's primary taxonomy code is 207ND0101X with license number 25MA08829200 (NJ). The provider is registered as an organization and their NPI record was last updated 15 years ago. Cosmetic And Dermatologic Surgery Associates Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Manoj Thakker M.d. (Owner)

NPI
1427355825
Provider Name
COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC
Entity Type
Organization
Location Address
719 N BEERS ST SUITE 2G HOLMDEL, NJ 07733
Location Phone
(802) 310-0664
Mailing Address
8 RIVERSIDE LN HOLMDEL, NJ 07733
Mailing Phone
(802) 310-0664
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2011
Last Update Date
02-21-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
License No.
25MA08829200
License State
NJ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

25MA08673200 (NJ)
22082S0099XAllopathic & Osteopathic Physicians

Plastic Surgery
Plastic Surgery Within the Head and Neck

25MA08673200 (NJ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANOJ THAKKER M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(802) 310-0664

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2023248
Facility Type
Physician Office
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
PRIYA S. THAKKER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Cosmetic And Dermatologic Surgery Associates Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427355825, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 6 + 5 + 1 + 0 + 8 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1427355825.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
719 N BEERS ST, SUITES 2E & 2F
HOLMDEL, NJ 07733
Internal Medicine (Pulmonary Disease)
719 N BEERS ST, SUITES 2E & 2F
HOLMDEL, NJ 07733
Podiatrist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733
Ophthalmology
719 N BEERS ST, SUITE 1B
HOLMDEL, NJ 07733
Podiatrist (Foot Surgery)
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Dentist (General Practice)
719 N BEERS ST, SUITE 2C
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1E
HOLMDEL, NJ 07733
Dermatology (MOHS-Micrographic Surgery)
719 N BEERS ST, UNIT 2G
HOLMDEL, NJ 07733
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733
Pediatrics
719 N BEERS ST
HOLMDEL, NJ 07733
Specialist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Acupuncturist
719 N BEERS ST
HOLMDEL, NJ 07733
Dermatology
719 N BEERS ST, SUITE 2G
HOLMDEL, NJ 07733
Physical Therapist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Internal Medicine (Critical Care Medicine)
719 N BEERS ST, SUITE 2 E & F
HOLMDEL, NJ 07733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427355825, enumerated as an "organization" on February 21, 2011.

The provider is located at 719 N BEERS ST SUITE 2G HOLMDEL, NJ 07733 and the phone number is (802) 310-0664.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.