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AESTHETIC DERMATOLOGY, LLC
NPI 1750449104
Dermatology in Marlton, NJ

Active since December 05, 2006
771 E ROUTE 70, SUITE D150, MARLTON, NJ 08053(856) 596-3393(856) 596-3394 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aesthetic Dermatology, Llc NPPES

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

AESTHETIC DERMATOLOGY, LLC (NPI 1750449104) is a healthcare organization registered as a dermatology in Marlton, New Jersey and active in the NPI registry since December 2006. The organization lists Sandra D Elder, Physician, as its authorized official.

NPPES Registry Identity

NPI1750449104
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAESTHETIC DERMATOLOGY, LLC
Location Address771 E ROUTE 70, SUITE D150Marlton, NJ 08053-2352
Mailing Address771 E Route 70, Suite D150Marlton, NJ 08053-2352 · (856) 596-3393 · Fax (856) 596-3394
Phone(856) 596-3393
Fax(856) 596-3394
Organization SubpartNo
Authorized OfficialSandra D ElderPhysician · (856) 596-3393
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 21, 2013
✔ NPI 1750449104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · MA53938
Definition
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.
771 E ROUTE 70, Marlton, NJ 08053
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aesthetic Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sandra Elder, M.D.
Dermatology
NPI 1538122668
771 ROUTE 70 EAST SUITE D-150
Marlton, NJ 08053
(856) 596-3393
✔ PECOS✔ Accepts MedicareSame address
Andriy Pavlenko, MD
Pathology
NPI 1932347440
2201 CHAPEL AVE W
Cherry Hill, NJ 08002
(856) 488-6560
✔ PECOS✔ Accepts Medicare4.6 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 31D2001790

Aesthetic Dermatology, LLC · Marlton, NJ
Expired · Sep 30, 2026
CLIA Number31D2001790
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorAndriy Pavlenko
Laboratory Phone(856) 596-3393
Laboratory LocationAesthetic Dermatology, LLC771 Route 70 E Suite D-150, Marlton, NJ 08053
CLIA data matches this NPI record on: 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 Aesthetic Dermatology, LLC's NPI number?

The NPI number for Aesthetic Dermatology, LLC is 1750449104. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Aesthetic Dermatology, LLC located?

Aesthetic Dermatology, LLC is located at 771 E Route 70 Suite D150, Marlton, NJ 08053. The listed phone number is (856) 596-3393.

What is Aesthetic Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Aesthetic Dermatology, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Aesthetic Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Aesthetic Dermatology, LLC, in Dermatology and Pathology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aesthetic Dermatology, LLC was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.