DERMATOLOGY AND LASER CENTER PA
NPI 1780894428
Dermatology - Procedural Dermatology in Long Branch, NJ

Q: What is Dermatology And Laser Center PA's NPI number?

The NPI number for Dermatology And Laser Center PA is 1780894428. It was assigned to this organization in the NPPES registry on May 23, 2007.

Q: What is Dermatology And Laser Center PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since May 23, 2007

279 THIRD AVENUE, SUITE 603, LONG BRANCH, NJ 07740(732) 222-8323(732) 870-9488 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dermatology And Laser Center Pa NPPES

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

DERMATOLOGY AND LASER CENTER PA (NPI 1780894428) is a healthcare organization registered as a procedural dermatology in Long Branch, New Jersey and active in the NPI registry since May 2007. The organization lists Benjamin Cohen, Owner, as its authorized official.

NPPES Registry Identity

NPI1780894428

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameDERMATOLOGY AND LASER CENTER PA

Location Address279 THIRD AVENUE, SUITE 603Long Branch, NJ 07740-6205

Mailing AddressPo Box 18751Newark, NJ 07191-8751 · (732) 222-8323 · Fax (732) 870-9488

Phone(732) 222-8323

Fax(732) 870-9488

Organization SubpartNo

Authorized OfficialBenjamin CohenOwner · (732) 222-8323

Enumeration DateMay 23, 2007

Last NPPES UpdateMarch 7, 2016

✔ NPI 1780894428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in NJ · 25MA06221000

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

279 THIRD AVENUE, Long Branch, NJ 07740

Open in Google Maps ↗

Other Identifiers 4

Medicare PIN070007945NJ

Medicare PIN062544NJ

Other0675790000NJ · Amerihealth

Medicare UPINF20132NJ

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)

Dermatology And Laser Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology And Laser Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Benjamin Cohen

Dermatology

NPI 1053301085

279 THIRD AVENUE SUITE 603
Long Branch, NJ 07740

(732) 222-8323

✔ PECOS✔ Accepts MedicareSame address

Kristin Horan, APN

Nurse Practitioner

NPI 1467966523

4 PARAGON WAY STE 300
Freehold, NJ 07728

(844) 337-6362

✔ PECOS14 mi

Adele Haimovic, M.D.

Dermatology

NPI 1518227800

10 W 15TH ST GROUND FLOOR
New York, NY 10011

(212) 924-7546

✔ PECOS✔ Accepts Medicare31 mi

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

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 And Laser Center PA's NPI number?

The NPI number for Dermatology And Laser Center PA is 1780894428. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Dermatology And Laser Center PA located?

Dermatology And Laser Center PA is located at 279 Third Avenue Suite 603, Long Branch, NJ 07740. The listed phone number is (732) 222-8323.

What is Dermatology And Laser Center PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Dermatology And Laser Center PA enrolled in Medicare?

Yes. Dermatology And Laser Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology And Laser Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology And Laser Center PA, in Dermatology and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology And Laser Center PA was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.