Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLNESS DERMATOLOGY LLC
NPI 1477031318
Dermatology in Lawrenceville, NJ

Active since August 02, 2018
638 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648(609) 337-7643(609) 337-7648 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Jan 14, 2026, Aug 17, 2018 and 1 more (4 updates tracked since 2018).

About Wellness Dermatology Llc NPPES

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

WELLNESS DERMATOLOGY LLC (NPI 1477031318) is a healthcare organization registered as a dermatology in Lawrenceville, New Jersey and active in the NPI registry since August 2018. The organization lists Erine Allison Kupetsky, Owner, Member, as its authorized official.

NPPES Registry Identity

NPI1477031318
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWELLNESS DERMATOLOGY LLC
Location Address638 LAWRENCEVILLE RDLawrenceville, NJ 08648-4208
Mailing Address638 Lawrenceville RdLawrenceville, NJ 08648-4208 · (609) 337-7643 · Fax (609) 337-7648
Fax(609) 337-7648
Organization SubpartNo
Authorized OfficialErine Allison KupetskyOwner, Member · (609) 337-7643
Enumeration DateAugust 2, 2018
Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1477031318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
638 LAWRENCEVILLE RD, Lawrenceville, NJ 08648

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellness Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1952400012
638 LAWRENCEVILLE RD
Lawrenceville, NJ 08648
(609) 337-7643
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wellness Dermatology LLC's NPI number?

The NPI number for Wellness Dermatology LLC is 1477031318. It was assigned to this organization in the NPPES registry on August 2, 2018.

Where is Wellness Dermatology LLC located?

Wellness Dermatology LLC is located at 638 Lawrenceville Rd, Lawrenceville, NJ 08648. The listed phone number is (609) 337-7643.

What is Wellness Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Wellness Dermatology LLC enrolled in Medicare?

Yes. Wellness Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Wellness Dermatology LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellness Dermatology LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.