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SHORE DERMATOLOGY LLC
NPI 1629253513
Clinic/Center - Medical Specialty in Colts Neck, NJ

Active since January 09, 2008
9 PROFESSIONAL CIRCLE, SUITE 103, COLTS NECK, NJ 07722(732) 462-5200(732) 462-5212 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shore Dermatology Llc NPPES

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

SHORE DERMATOLOGY LLC (NPI 1629253513) is a healthcare organization registered as a medical specialty in Colts Neck, New Jersey and active in the NPI registry since January 2008. The organization lists Risa Jill Gorin, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1629253513
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSHORE DERMATOLOGY LLC
Location Address9 PROFESSIONAL CIRCLE, SUITE 103Colts Neck, NJ 07722
Mailing Address9 Professional Circle, Suite 103Colts Neck, NJ 07722 · (732) 462-5200 · Fax (732) 462-5212
Phone(732) 462-5200
Fax(732) 462-5212
Organization SubpartNo
Authorized OfficialRisa Jill GorinSole Member · (732) 462-5200
Enumeration DateJanuary 9, 2008
Last NPPES UpdateSeptember 15, 2008
✔ NPI 1629253513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NJ · 25MB07615100
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
9 PROFESSIONAL CIRCLE, Colts Neck, NJ 07722
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Other Identifiers 1

Medicare UPINI21465NJ

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.

BEAUITFUL MIND COUNSELING CENTER, LLC
Counselor (Mental Health)
9 PROFESSIONAL CIRCLE, SUITE 206
COLTS NECK, NJ 07722
Monmouth County (732) 200-2891
MS. LAUREN M CANOVA PA
Physician Assistant (Medical)
9 PROFESSIONAL CIRCLE, SUITE 101
COLTS NECK, NJ 07722
Monmouth County (732) 431-1520

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 Shore Dermatology LLC's NPI number?

The NPI number for Shore Dermatology LLC is 1629253513. It was assigned to this organization in the NPPES registry on January 9, 2008.

Where is Shore Dermatology LLC located?

Shore Dermatology LLC is located at 9 Professional Circle Suite 103, Colts Neck, NJ 07722. The listed phone number is (732) 462-5200.

What is Shore Dermatology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Shore Dermatology LLC was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.