DERMATOLOGY AND SKIN SURGERY CENTER, PROFESSIONAL ASSOCIATION
NPI 1811129141
Dermatology - Procedural Dermatology in Florham Park, NJ

Active since August 20, 2009CLIA Certified · 2 labs
220 RIDGEDALE AVE, SUITE A3, FLORHAM PARK, NJ 07932(973) 301-9500(973) 301-0435 Get Directions Write a Review

NPPES record last updated: October 12, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermatology And Skin Surgery Center, Professional Association NPPES

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

DERMATOLOGY AND SKIN SURGERY CENTER, PROFESSIONAL ASSOCIATION (NPI 1811129141) is a healthcare organization registered as a procedural dermatology in Florham Park, New Jersey and active in the NPI registry since August 2009. The organization holds 2 active CLIA laboratory certificates and lists David Adam Kiken, Owner, as its authorized official.

NPPES Registry Identity

NPI1811129141
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameDERMATOLOGY AND SKIN SURGERY CENTER, PROFESSIONAL ASSOCIATION
Location Address220 RIDGEDALE AVE, SUITE A3Florham Park, NJ 07932-1348
Mailing Address220 Ridgedale Ave, Suite A3Florham Park, NJ 07932-1348 · (973) 301-9500 · Fax (973) 301-0435
Fax(973) 301-0435
Organization SubpartNo
Authorized OfficialDavid Adam KikenOwner · (973) 301-9500
Enumeration DateAugust 20, 2009
Last NPPES UpdateOctober 12, 2009
✔ NPI 1811129141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in NJ · 25MA0837050
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).
Also ListedDermatologyTaxonomy 207N00000X · License A89501 (CA), 233992-1 (NY)
220 RIDGEDALE AVE, Florham Park, NJ 07932

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

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 Skin Surgery Center, Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology And Skin Surgery Center, Professional Association, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1801004114
205 RIDGEDALE AVE SUITE 4
Florham Park, NJ 07932
(973) 301-9500
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1205095155
622 WEST 168TH ST PH 1564W
New York, NY 10032
(212) 305-7399
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1124351747
65 RANCHO MIRAGE CT
Holmdel, NJ 07733
(330) 219-4361
✔ PECOS✔ Accepts Medicare30 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 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 31D1104280

Dermatology And Skin Surgery Center, PA · Florham Park, NJ
Active · expires Feb 4, 2028
CLIA Number31D1104280
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDavid A. Kiken
Laboratory Phone(973) 301-9500
Laboratory LocationDermatology And Skin Surgery Center, PA205 Ridgedale Avenue Suite 4, Florham Park, NJ 07932
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.

Certificate of Compliance 31D2024863

Dermatology And Skin Surgery Center, PA · Branchburg, NJ
Active · expires Sep 21, 2027
CLIA Number31D2024863
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorDavid A. Kiken
Laboratory Phone(973) 301-9500
Laboratory LocationDermatology And Skin Surgery Center, PA3322 Route 22 West Suite 605, Branchburg, NJ 08876
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 Dermatology And Skin Surgery Center, Professional Association's NPI number?

The NPI number for Dermatology And Skin Surgery Center, Professional Association is 1811129141. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Dermatology And Skin Surgery Center, Professional Association located?

Dermatology And Skin Surgery Center, Professional Association is located at 220 Ridgedale Ave Suite A3, Florham Park, NJ 07932. The listed phone number is (973) 301-9500.

What is Dermatology And Skin Surgery Center, Professional Association's specialty?

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

Is Dermatology And Skin Surgery Center, Professional Association enrolled in Medicare?

Yes. Dermatology And Skin Surgery Center, Professional Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology And Skin Surgery Center, Professional Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology And Skin Surgery Center, Professional Association, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology And Skin Surgery Center, Professional Association 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 And Skin Surgery Center, Professional Association was last updated on October 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.