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

Q: 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.

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: October 18, 2026.

On this page

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cosmetic And Dermatologic Surgery Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cosmetic And Dermatologic Surgery Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Divya Bhatnagar, M.D.

Dermatology

NPI 1134480791

719 N BEERS ST SUITE 2G
Holmdel, NJ 07733

(732) 739-3223

✔ PECOS✔ Accepts MedicareSame address

Priya Thakker, M.D.

Dermatology

NPI 1538359633

719 N BEERS ST UNIT 2G
Holmdel, NJ 07733

(732) 739-3223

✔ PECOS✔ Accepts MedicareSame address

Manoj Thakker, M.D.

Ophthalmology

NPI 1679550297

1500 TILTON RD
Northfield, NJ 08225

(609) 646-5200

✔ PECOS✔ Accepts Medicare74 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 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.

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.

Is Cosmetic And Dermatologic Surgery Associates LLC enrolled in Medicare?

Yes. Cosmetic And Dermatologic Surgery Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cosmetic And Dermatologic Surgery Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cosmetic And Dermatologic Surgery Associates LLC, in Dermatology and Ophthalmology. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.