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 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
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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 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.
1427355825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447651084
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 = 55

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

(732) 264-1001

DR. SAM T BEBAWY MD FCCP

Internal Medicine

(Pulmonary Disease)

719 N BEERS ST
SUITES 2E & 2F
HOLMDEL, NJ
ZIP 07733

(732) 264-1001

DR. PATRICK J CAPUTO DPM

Podiatrist

719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733

(732) 739-3230

DR. VANDA BRUNER MD

Pediatrics

(Adolescent Medicine)

719 N BEERS ST
SUITE 1A
HOLMDEL, NJ
ZIP 07733

(732) 264-4646

DR. SUREKHA COLLUR M.D.

Ophthalmology

719 N BEERS ST
SUITE 1B
HOLMDEL, NJ
ZIP 07733

(732) 264-6464

CAPUTO FOOT & ANKLE CTRS

Podiatrist

(Foot Surgery)

719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733

(732) 739-3230

DR. GEORGE AUGUSTINE ROONEY III DMD

Dentist

(General Practice)

719 N BEERS ST
SUITE 2C
HOLMDEL, NJ
ZIP 07733

(732) 264-5933

DR. LEA HIPOLITO DAVID MD

Pediatrics

719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733

(732) 739-4414

DR. LIZA PROTASIS MD

Pediatrics

719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733

(732) 739-4414

DR. KUSUM MOHAN MD

Pediatrics

719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733

(732) 739-4414

DR. BERNADETTE MIGUELINO MD

Pediatrics

719 N BEERS ST
SUITE 1-E
HOLMDEL, NJ
ZIP 07733

(732) 739-4414

HOLMDEL PEDIATRICS, LLC

Pediatrics

(Adolescent Medicine)

719 N BEERS ST
SUITE 1E
HOLMDEL, NJ
ZIP 07733

(732) 290-1063

PRIYA THAKKER M.D.

Dermatology

(MOHS-Micrographic Surgery)

719 N BEERS ST
UNIT 2G
HOLMDEL, NJ
ZIP 07733

(732) 739-3223

VANDA BRUNER MD PA

Pediatrics

(Adolescent Medicine)

719 N BEERS ST
SUITE 1A
HOLMDEL, NJ
ZIP 07733

(732) 264-4646

MRS. BRITTANY MARIE CAREY D.O.

Pediatrics

719 N BEERS ST
HOLMDEL, NJ
ZIP 07733

(732) 739-4414

APMR OF HOLMDEL, LLC

Specialist

719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733

(732) 894-9200

MRS. HEATHER LORIAN QUINLIVAN L.AC.

Acupuncturist

719 N BEERS ST
HOLMDEL, NJ
ZIP 07733

(732) 894-9200

DIVYA SAMBANDAN BHATNAGAR M.D.

Dermatology

719 N BEERS ST
SUITE 2G
HOLMDEL, NJ
ZIP 07733

(732) 739-3223

HOLMDEL PHYSICAL THERAPY AND SPORTS MEDICINE LLC

Physical Therapist

719 N BEERS ST
SUITE 2A
HOLMDEL, NJ
ZIP 07733

(646) 996-1009

CRITICAL CARE CONSULTANTS OF NEW JERSEY LLC

Internal Medicine

(Critical Care Medicine)

719 N BEERS ST
SUITE 2 E & F
HOLMDEL, NJ
ZIP 07733

(732) 264-1001

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.