AESTHETIC DERMATOLOGY, LLC
NPI 1750449104
Dermatology in Marlton, NJ

NPI Status: Active since December 05, 2006

Contact Information

771 E ROUTE 70
SUITE D150
MARLTON, NJ
ZIP 08053
Phone: (856) 596-3393
Fax: (856) 596-3394

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  • Organization
  • Dermatology
  • CLIA Number: 31D2001790
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-06-2026

About AESTHETIC DERMATOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Aesthetic Dermatology, Llc, a provider established in Marlton, New Jersey operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1750449104 assigned on December 2006. The practitioner's primary taxonomy code is 207N00000X with license number MA53938 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Sandra D Elder Md (Physician)

NPI
1750449104
Provider Name
AESTHETIC DERMATOLOGY, LLC
Entity Type
Organization
Location Address
771 E ROUTE 70 SUITE D150 MARLTON, NJ 08053
Location Phone
(856) 596-3393
Location Fax
(856) 596-3394
Mailing Address
771 E ROUTE 70 SUITE D150 MARLTON, NJ 08053
Mailing Phone
(856) 596-3393
Mailing Fax
(856) 596-3394
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
08-21-2013
Code Navigator

A dermatologist like Aesthetic Dermatology, Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MA53938
License State
NJ
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SANDRA D ELDER MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(856) 596-3393

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2001790
Facility Type
Physician Office
Certificate Effective Date
June 07, 2024
Certificate Expiration Date
June 06, 2026
Laboratory Director
ANDRIY PAVLENKO
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Aesthetic Dermatology, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750449104, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 8 + 4 + 1 + 8 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1750449104.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
771 E ROUTE 70, SUITE G
MARLTON, NJ 08053
Dermatology (MOHS-Micrographic Surgery)
771 E ROUTE 70, SUITE D150
MARLTON, NJ 08053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750449104, enumerated as an "organization" on December 05, 2006.

The provider is located at 771 E ROUTE 70 SUITE D150 MARLTON, NJ 08053 and the phone number is (856) 596-3393.

Dermatology with taxonomy code 207N00000X.