1. Home
  2. Directory
  3. New Jersey
  4. Holmdel
  5. Dermatology
  6. NPI Profile

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

Active since February 21, 2011CLIA 31D2023248 · Certificate of Compliance
719 N BEERS ST, SUITE 2G, HOLMDEL, NJ 07733(802) 310-0664 Get Directions Write a Review

NPPES record last updated: February 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cosmetic And Dermatologic Surgery Associates Llc NPPES

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

COSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC (NPI 1427355825) is a healthcare organization registered as a mohs-micrographic surgery in Holmdel, New Jersey and active in the NPI registry since February 2011. The organization holds a CLIA Certificate of Compliance certificate valid through March 21, 2027 and lists Manoj Thakker, Owner, as its authorized official.

NPPES Registry Identity

NPI1427355825
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCOSMETIC AND DERMATOLOGIC SURGERY ASSOCIATES LLC
Location Address719 N BEERS ST, SUITE 2GHolmdel, NJ 07733-1522
Mailing Address8 Riverside LnHolmdel, NJ 07733-2084 · (802) 310-0664
Phone(802) 310-0664
Organization SubpartNo
Authorized OfficialManoj ThakkerOwner · (802) 310-0664
Enumeration DateFebruary 21, 2011
✔ NPI 1427355825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NJ · 25MA08829200
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.
Also ListedOphthalmologyTaxonomy 207W00000X · License 25MA08673200 (NJ)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 25MA08673200 (NJ)
719 N BEERS ST, Holmdel, NJ 07733
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 31D2023248

Cosmetic And Dermatologic Surgery Assoc, LLC · Holmdel, NJ
Active · expires Mar 21, 2027
CLIA Number31D2023248
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorPriya S. Thakker
Laboratory Phone(732) 739-3223
Laboratory LocationCosmetic And Dermatologic Surgery Assoc, LLC719 N Beers St Unit 2G, Holmdel, NJ 07733
CLIA data matches this NPI record on: Address Name
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 20

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

HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Physical Therapist
719 N BEERS ST, SUITE 2A
HOLMDEL, NJ 07733
Monmouth County (646) 996-1009
DR. VANDA BRUNER MD
Pediatrics (Adolescent Medicine)
719 N BEERS ST, SUITE 1A
HOLMDEL, NJ 07733
Monmouth County (732) 264-4646
DR. BERNADETTE MIGUELINO MD
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Monmouth County (732) 739-4414
CRITICAL CARE CONSULTANTS OF NEW JERSEY LLC
Internal Medicine (Critical Care Medicine)
719 N BEERS ST, SUITE 2 E & F
HOLMDEL, NJ 07733
Monmouth County (732) 264-1001
MRS. ELISABETH HOLTZER RD
Dietitian, Registered
719 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (646) 996-1009
DR. LEA HIPOLITO DAVID MD
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Monmouth County (732) 739-4414
DIVYA SAMBANDAN BHATNAGAR M.D.
Dermatology
719 N BEERS ST, SUITE 2G
HOLMDEL, NJ 07733
Monmouth County (732) 739-3223
DR. KUSUM MOHAN MD
Pediatrics
719 N BEERS ST, SUITE 1-E
HOLMDEL, NJ 07733
Monmouth County (732) 739-4414

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 Cosmetic And Dermatologic Surgery Associates LLC's NPI number?

The NPI number for Cosmetic And Dermatologic Surgery Associates LLC is 1427355825. It was assigned to this organization in the NPPES registry on February 21, 2011.

Where is Cosmetic And Dermatologic Surgery Associates LLC located?

Cosmetic And Dermatologic Surgery Associates LLC is located at 719 N Beers St Suite 2G, Holmdel, NJ 07733. The listed phone number is (802) 310-0664.

What is Cosmetic And Dermatologic Surgery Associates LLC's specialty?

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

Does Cosmetic And Dermatologic Surgery Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2023248) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cosmetic And Dermatologic Surgery Associates LLC was last updated on February 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.