DERMATOLOGY OF SOUTH JERSEY LLC
NPI 1528822152
Dermatology - MOHS-Micrographic Surgery in Voorhees, NJ

Q: What is Dermatology Of South Jersey LLC's NPI number?

The NPI number for Dermatology Of South Jersey LLC is 1528822152. It was assigned to this organization in the NPPES registry on February 13, 2024.

Q: What is Dermatology Of South Jersey LLC's specialty?

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

Active since February 13, 2024

2301 E EVESHAM RD STE 203, VOORHEES, NJ 08043(215) 315-3197(215) 689-4466 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2026, Mar 11, 2026 (2 updates tracked since 2026).

On this page

About Dermatology Of South Jersey Llc NPPES

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

DERMATOLOGY OF SOUTH JERSEY LLC (NPI 1528822152) is a healthcare organization registered as a mohs-micrographic surgery in Voorhees, New Jersey and active in the NPI registry since February 2024. The organization maintains a secondary practice location in Marlton and lists Mark Abdelmalek, Owner, as its authorized official.

NPPES Registry Identity

NPI1528822152

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameDERMATOLOGY OF SOUTH JERSEY LLC

Location Address2301 E EVESHAM RD STE 203Voorhees, NJ 08043-4501

Mailing Address200 N 16th St Ste DPhiladelphia, PA 19102-1202 · (215) 315-3197 · Fax (215) 689-4466

Phone(215) 315-3197

Fax(215) 689-4466

Organization SubpartNo

Authorized OfficialMark AbdelmalekOwner · (215) 315-3197

Enumeration DateFebruary 13, 2024

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1528822152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

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.

2301 E EVESHAM RD STE 203, Voorhees, NJ 08043

Open in Google Maps ↗

Secondary Practice Location 1

Location 1525 Route 73 S, Ste 302/303Marlton, NJ 08053-9642 · Phone (215) 315-3197 · Fax (215) 689-4466

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology Of South Jersey LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mark Abdelmalek, M.D.

Micrographic Dermatologic Surgery (MDS)

NPI 1972543155

200 N 16TH ST STE D
Philadelphia, PA 19102

(215) 315-3197

✔ PECOS✔ Accepts Medicare12 mi

Jaryd Freedman, MD

Dermatology

NPI 1528327327

200 N 16TH ST STE D
Philadelphia, PA 19102

(215) 315-3197

✔ PECOS✔ Accepts Medicare12 mi

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 Dermatology Of South Jersey LLC's NPI number?

The NPI number for Dermatology Of South Jersey LLC is 1528822152. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is Dermatology Of South Jersey LLC located?

Dermatology Of South Jersey LLC is located at 2301 E Evesham Rd Ste 203, Voorhees, NJ 08043. The listed phone number is (215) 315-3197.

What is Dermatology Of South Jersey LLC's specialty?

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

Is Dermatology Of South Jersey LLC enrolled in Medicare?

Yes. Dermatology Of South Jersey LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Of South Jersey LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dermatology Of South Jersey LLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). 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 Dermatology Of South Jersey LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.