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CHOICE DERMATOLOGY LLC
NPI 1669747432
Clinic/Center - Medical Specialty in Basking Ridge, NJ

Active since March 13, 2012CLIA 31D2041801 · Certificate of Compliance
12 RIDGE ST, BASKING RIDGE, NJ 07920(908) 285-3301 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Choice Dermatology Llc NPPES

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

CHOICE DERMATOLOGY LLC (NPI 1669747432) is a healthcare organization registered as a medical specialty in Basking Ridge, New Jersey and active in the NPI registry since March 2012. The organization holds a CLIA Certificate of Compliance certificate valid through April 18, 2027 and lists Marc C Meulener, Founder, as its authorized official.

NPPES Registry Identity

NPI1669747432
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCHOICE DERMATOLOGY LLC
Location Address12 RIDGE STBasking Ridge, NJ 07920-1785
Mailing Address768 Springfield Ave, Apt. E7Summit, NJ 07901-2340 · (908) 285-3301
Phone(908) 285-3301
Organization SubpartNo
Authorized OfficialMarc C MeulenerFounder · (908) 285-3301
Enumeration DateMarch 13, 2012
✔ NPI 1669747432 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 · 25MA09007000
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).
12 RIDGE ST, Basking Ridge, NJ 07920
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Other Identifiers 1

Other0400465583NJ · Nj Business Identification Number

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Choice Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Marc Meulener, M.D., PH.D.
Dermatology
NPI 1770739633
12 RIDGE ST
Basking Ridge, NJ 07920
(908) 766-7546
✔ PECOS✔ Accepts MedicareSame address
Stephanie Llanos, MD
Dermatology
NPI 1083292676
99 BEAUVOIR AVE
Summit, NJ 07901
(908) 522-2000
✔ PECOS✔ Accepts Medicare10 mi
Adriana Marton, MD
Dermatology
NPI 1780144527
225 STATE ROUTE 35 STE 208
Red Bank, NJ 07701
(212) 639-2000
✔ PECOS✔ Accepts Medicare34 mi
Lauren Riley, APN
Nurse Practitioner
NPI 1467794685
623 RIVER RD STE 1E
Fair Haven, NJ 07704
(732) 838-3376
✔ PECOS✔ Accepts Medicare36 mi
David Hashemi, MD, MBA
Dermatology
NPI 1043772791
50 STANIFORD ST
Boston, MA 02114
(617) 726-2914
✔ PECOS✔ Accepts Medicare214 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 31D2041801

Choice Dermatology · Basking Ridge, NJ
Active · expires Apr 18, 2027
CLIA Number31D2041801
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorMarc C. Meulener
Laboratory Phone(908) 766-7546
Laboratory LocationChoice Dermatology12 Ridge Street, Basking Ridge, NJ 07920
CLIA data matches this NPI record on: Address Name
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 Choice Dermatology LLC's NPI number?

The NPI number for Choice Dermatology LLC is 1669747432. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Choice Dermatology LLC located?

Choice Dermatology LLC is located at 12 Ridge St, Basking Ridge, NJ 07920. The listed phone number is (908) 285-3301.

What is Choice Dermatology LLC's specialty?

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

Is Choice Dermatology LLC enrolled in Medicare?

Yes. Choice Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Choice Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Choice Dermatology 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. The largest specialties are Dermatology (4) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Choice Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2041801) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Choice Dermatology LLC was last updated on March 13, 2012. 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.