RANDOLPH DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LLC
NPI 1497921738
Dermatology - MOHS-Micrographic Surgery in Randolph, NJ

Q: What is Randolph Dermatology And Mohs Micrographic Surgery LLC's specialty?

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

Active since May 06, 2008

390 ROUTE 10 W, SUITE 102, RANDOLPH, NJ 07869(973) 366-6303(973) 891-1505 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Randolph Dermatology And Mohs Micrographic Surgery Llc NPPES

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

RANDOLPH DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LLC (NPI 1497921738) is a healthcare organization registered as a mohs-micrographic surgery in Randolph, New Jersey and active in the NPI registry since May 2008. The organization lists David Najarian, Owner, as its authorized official.

NPPES Registry Identity

NPI1497921738

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameRANDOLPH DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LLC

Location Address390 ROUTE 10 W, SUITE 102Randolph, NJ 07869-2141

Mailing Address390 Route 10 W, Suite 102Randolph, NJ 07869-2141 · (973) 366-6303 · Fax (973) 891-1505

Phone(973) 366-6303

Fax(973) 891-1505

Organization SubpartNo

Authorized OfficialDavid NajarianOwner · (732) 309-2016

Enumeration DateMay 6, 2008

Last NPPES UpdateAugust 30, 2011

✔ NPI 1497921738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in NJ · 25MA07842

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.

390 ROUTE 10 W, Randolph, NJ 07869

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Randolph Dermatology And Mohs Micrographic Surgery 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 Randolph Dermatology And Mohs Micrographic Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Najarian, MD

Dermatology

NPI 1760694038

390 ROUTE 10 WEST
Randolph, NJ 07869

(973) 366-6303

✔ 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 Randolph Dermatology And Mohs Micrographic Surgery LLC's NPI number?

The NPI number for Randolph Dermatology And Mohs Micrographic Surgery LLC is 1497921738. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Randolph Dermatology And Mohs Micrographic Surgery LLC located?

Randolph Dermatology And Mohs Micrographic Surgery LLC is located at 390 Route 10 W Suite 102, Randolph, NJ 07869. The listed phone number is (973) 366-6303.

What is Randolph Dermatology And Mohs Micrographic Surgery LLC's specialty?

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

Is Randolph Dermatology And Mohs Micrographic Surgery LLC enrolled in Medicare?

Yes. Randolph Dermatology And Mohs Micrographic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randolph Dermatology And Mohs Micrographic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Randolph Dermatology And Mohs Micrographic Surgery 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 Randolph Dermatology And Mohs Micrographic Surgery LLC was last updated on August 30, 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.