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K DERMATOLOGY & AESTHETIC CENTER LLC
NPI 1912529637
Dermatology - Procedural Dermatology in Colts Neck, NJ

Active since May 15, 2020
340 STATE ROUTE 34, COLTS NECK, NJ 07722(312) 401-5430 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About K Dermatology & Aesthetic Center Llc NPPES

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

K DERMATOLOGY & AESTHETIC CENTER LLC (NPI 1912529637) is a healthcare organization registered as a procedural dermatology in Colts Neck, New Jersey and active in the NPI registry since May 2020. The organization lists Sairah Khokher, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1912529637
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameK DERMATOLOGY & AESTHETIC CENTER LLC
Location Address340 STATE ROUTE 34Colts Neck, NJ 07722-2433
Mailing Address340 State Route 34Colts Neck, NJ 07722-2433
Phone(312) 401-5430
Organization SubpartNo
Authorized OfficialSairah KhokherMd/owner · (312) 401-5430
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1912529637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
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).
340 STATE ROUTE 34, Colts Neck, NJ 07722
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to K Dermatology & Aesthetic Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sairah Khokher, M.D
Dermatology
NPI 1376798454
19 KYLE WAY
Ewing, NJ 08628
(609) 323-7836
✔ PECOS✔ Accepts Medicare32 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 Waiver 31D2199568

K Dermatology · Colts Neck, NJ
Expired · Oct 10, 2026
CLIA Number31D2199568
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorSairah Khoker
Laboratory Phone(732) 677-2049
Laboratory LocationK Dermatology340 State Route 34 S Suite 203, Colts Neck, NJ 07722
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 K Dermatology & Aesthetic Center LLC's NPI number?

The NPI number for K Dermatology & Aesthetic Center LLC is 1912529637. It was assigned to this organization in the NPPES registry on May 15, 2020.

Where is K Dermatology & Aesthetic Center LLC located?

K Dermatology & Aesthetic Center LLC is located at 340 State Route 34, Colts Neck, NJ 07722. The listed phone number is (312) 401-5430.

What is K Dermatology & Aesthetic Center LLC's specialty?

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

Is K Dermatology & Aesthetic Center LLC enrolled in Medicare?

Yes. K Dermatology & Aesthetic Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K Dermatology & Aesthetic Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to K Dermatology & Aesthetic Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for K Dermatology & Aesthetic Center LLC was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.