DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C.
NPI 1699960096
Dermatology - Dermatopathology in Mount Laurel, NJ
About Dermatology Associates Of South Jersey, L.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C. (NPI 1699960096) is a healthcare organization registered as a dermatopathology in Mount Laurel, New Jersey and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 18, 2028, maintains a secondary practice location in Haddon Heights, and lists Carrie Ann Rishko Cusack, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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 Associates Of South Jersey, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Dermatology Associates Of South Jersey, L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 2
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 31D2027817
Dermatology Associates Of South Jersey, LLC · Mount Laurel, NJCertificate of Compliance 31D0695812
Dermatology Associates Of South Jersey · Haddon Heights, NJFrequently 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 Associates Of South Jersey, L.L.C.'s NPI number?
The NPI number for Dermatology Associates Of South Jersey, L.L.C. is 1699960096. It was assigned to this organization in the NPPES registry on September 9, 2007.
Where is Dermatology Associates Of South Jersey, L.L.C. located?
Dermatology Associates Of South Jersey, L.L.C. is located at 150 Century Pkwy Ste 150, Mount Laurel, NJ 08054. The listed phone number is (856) 206-0201.
What is Dermatology Associates Of South Jersey, L.L.C.'s specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Dermatology Associates Of South Jersey, L.L.C. enrolled in Medicare?
Yes. Dermatology Associates Of South Jersey, L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Associates Of South Jersey, L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Associates Of South Jersey, L.L.C.. 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 (8) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Associates Of South Jersey, L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 31D2027817) is associated with this NPI, valid through April 18, 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 Dermatology Associates Of South Jersey, L.L.C. was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dermatology Associates Of South Jersey, L.l.c. · NPI 1699960096
Dermatopathology organization in Mount Laurel, New Jersey. Organization record, active in the CMS NPPES registry since September 9, 2007.
## Identity
- **NPI:** 1699960096 (Entity type: Organization)
- **Enumerated:** September 9, 2007
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Organization subpart:** No
- **Authorized official:** Carrie Ann Cusack, PHYSICIAN/OWNER
## Practice location
- **Address:** 150 CENTURY PKWY STE 150, Mount Laurel, NJ 08054-1129
- **Phone:** (856) 206-0201 · **Fax:** (856) 206-0209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (8), Micrographic Dermatologic Surgery (MDS) (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699960096) · Data from the CMS NPPES public registry.