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
- 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 14 years ago. Cosmetic And Dermatologic Surgery Associates Llc operates as a multi-specialty business group with one or more individual providers 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 25MA08673200 (NJ) |
2 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | 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.
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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 2 | 7 | 3 | 5 | 5 | 8 | 2 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 6 | 5 | 10 | 8 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 6 + 5 + 1 + 0 + 8 + 4 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1427355825 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CENTRAL JERSEY PULMONARY & MEDICAL ASSOCIATES, LLC
Internal Medicine
(Pulmonary Disease)
719 N BEERS ST
SUITES 2E & 2F
HOLMDEL, NJ
ZIP 07733
DR. SAM T BEBAWY MD FCCP
Internal Medicine
(Pulmonary Disease)
719 N BEERS ST
SUITES 2E & 2F
HOLMDEL, NJ
ZIP 07733
DR. PATRICK J CAPUTO DPM
Podiatrist
719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733
DR. VANDA BRUNER MD
Pediatrics
(Adolescent Medicine)
719 N BEERS ST
SUITE 1A
HOLMDEL, NJ
ZIP 07733
DR. SUREKHA COLLUR M.D.
Ophthalmology
719 N BEERS ST
SUITE 1B
HOLMDEL, NJ
ZIP 07733
CAPUTO FOOT & ANKLE CTRS
Podiatrist
(Foot Surgery)
719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733
DR. GEORGE AUGUSTINE ROONEY III DMD
Dentist
(General Practice)
719 N BEERS ST
SUITE 2C
HOLMDEL, NJ
ZIP 07733
DR. LEA HIPOLITO DAVID MD
Pediatrics
719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733
DR. LIZA PROTASIS MD
Pediatrics
719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733
DR. KUSUM MOHAN MD
Pediatrics
719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733
DR. BERNADETTE MIGUELINO MD
Pediatrics
719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733
HOLMDEL PEDIATRICS, LLC
Pediatrics
(Adolescent Medicine)
719 N BEERS ST
SUITE 1E
HOLMDEL, NJ
ZIP 07733
PRIYA THAKKER M.D.
Dermatology
(MOHS-Micrographic Surgery)
719 N BEERS ST
UNIT 2G
HOLMDEL, NJ
ZIP 07733
VANDA BRUNER MD PA
Pediatrics
(Adolescent Medicine)
719 N BEERS ST
SUITE 1A
HOLMDEL, NJ
ZIP 07733
MRS. BRITTANY MARIE CAREY D.O.
Pediatrics
719 N BEERS ST
HOLMDEL, NJ
ZIP 07733
APMR OF HOLMDEL, LLC
Specialist
719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733
MRS. HEATHER LORIAN QUINLIVAN L.AC.
Acupuncturist
719 N BEERS ST
HOLMDEL, NJ
ZIP 07733
DIVYA SAMBANDAN BHATNAGAR M.D.
Dermatology
719 N BEERS ST
SUITE 2G
HOLMDEL, NJ
ZIP 07733
HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Physical Therapist
719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733
CRITICAL CARE CONSULTANTS OF NEW JERSEY LLC
Internal Medicine
(Critical Care Medicine)
719 N BEERS ST
SUITE 2 E & F
HOLMDEL, NJ
ZIP 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.