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COASTAL DERMATOLOGY LLC
NPI 1528466919
Dermatology in Brick, NJ

Active since December 17, 2014CLIA 31D2105167 · Certificate of Compliance
198 JACK MARTIN BLVD., BRICK, NJ 08724(732) 836-1600(732) 836-1601 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Dermatology Llc NPPES

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

COASTAL DERMATOLOGY LLC (NPI 1528466919) is a healthcare organization registered as a dermatology in Brick, New Jersey and active in the NPI registry since December 2014. The organization holds a CLIA Certificate of Compliance certificate valid through May 4, 2028 and lists Anita Marie Osmundson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1528466919
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL DERMATOLOGY LLC
Location Address198 JACK MARTIN BLVD.Brick, NJ 08724
Mailing Address198 Jack Martin Blvd.Brick, NJ 08724 · (732) 836-1600 · Fax (732) 836-1601
Phone(732) 836-1600
Fax(732) 836-1601
Organization SubpartNo
Authorized OfficialAnita Marie OsmundsonDoctor · (732) 836-1600
Enumeration DateDecember 17, 2014
Last NPPES UpdateJanuary 30, 2015
✔ NPI 1528466919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
198 JACK MARTIN BLVD., Brick, NJ 08724
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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

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 31D2105167

Coastal Dermatology LLC · Brick, NJ
Active · expires May 4, 2028
CLIA Number31D2105167
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorAnita M. Osmundson
Laboratory Phone(732) 836-1600
Laboratory LocationCoastal Dermatology LLC198 Jack Martin Blvd A-3, Brick, NJ 08724
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.

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 Coastal Dermatology LLC's NPI number?

The NPI number for Coastal Dermatology LLC is 1528466919. It was assigned to this organization in the NPPES registry on December 17, 2014.

Where is Coastal Dermatology LLC located?

Coastal Dermatology LLC is located at 198 Jack Martin Blvd., Brick, NJ 08724. The listed phone number is (732) 836-1600.

What is Coastal Dermatology LLC's specialty?

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

Does Coastal Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2105167) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Dermatology LLC was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.