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

Active since May 06, 2008CLIA 31D1084717 · Certificate of Compliance
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: August 02, 2026.

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 holds a CLIA Certificate of Compliance certificate valid through August 17, 2026 and 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

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 31D1084717

Randolph Dermatology And Mohs Micrographic Surgery LLC · Randolph, NJ
Active · expires Aug 17, 2026
CLIA Number31D1084717
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorDavid J. Najarian
Laboratory Phone(973) 366-6303
Laboratory LocationRandolph Dermatology And Mohs Micrographic Surgery LLC390 Route 10 West Suite 201, Randolph, NJ 07869
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREI BUNA M.D.
Obstetrics & Gynecology
390 ROUTE 10 W, SUITE 1
RANDOLPH, NJ 07869
Morris County (973) 328-1262
CRISTIN MAURA KELLY PA-C
Physician Assistant (Medical)
390 ROUTE 10 W, SUITE 102
RANDOLPH, NJ 07869
Morris County (973) 366-6303

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.

Does Randolph Dermatology And Mohs Micrographic Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D1084717) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 14 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.