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DERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C.
NPI 1699960096
Dermatology - Dermatopathology in Mount Laurel, NJ

Active since September 09, 2007CLIA Certified · 2 labs
150 CENTURY PKWY STE 150, MOUNT LAUREL, NJ 08054(856) 206-0201(856) 206-0209 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 2 active CLIA laboratory certificates, maintains a secondary practice location in Haddon Heights, and lists Carrie Ann Rishko Cusack, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1699960096
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameDERMATOLOGY ASSOCIATES OF SOUTH JERSEY, L.L.C.
Location Address150 CENTURY PKWY STE 150Mount Laurel, NJ 08054-1129
Mailing Address150 Century Pkwy Ste 105Mount Laurel, NJ 08054-1129 · (856) 206-0201 · Fax (856) 206-0209
Phone(856) 206-0201
Fax(856) 206-0209
Organization SubpartNo
Authorized OfficialCarrie Ann Rishko CusackPhysician/owner · (856) 206-0201
Enumeration DateSeptember 9, 2007
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1699960096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in NJ · 25MA07815500
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
150 CENTURY PKWY STE 150, Mount Laurel, NJ 08054
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Secondary Practice Location 1

Location 1112 White Horse PikeHaddon Heights, NJ 08035-1908 · Phone (856) 546-5353 · Fax (856) 546-8711

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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, NJ
Active · expires Apr 18, 2028
CLIA Number31D2027817
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorCarrie Ann R. Cusack
Laboratory Phone(856) 206-0201
Laboratory LocationDermatology Associates Of South Jersey, LLC150 Century Parkway Suite 105, Mount Laurel, NJ 08054
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.

Certificate of Compliance 31D0695812

Dermatology Associates Of South Jersey · Haddon Heights, NJ
Active · expires Oct 20, 2026
CLIA Number31D0695812
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorRobert A. Allen
Laboratory Phone(856) 546-5353
Laboratory LocationDermatology Associates Of South Jersey112 White Horse Pike, Haddon Heights, NJ 08035
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 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.

Does Dermatology Associates Of South Jersey, L.L.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.