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AMERICAN SKIN AND CANCER CENTER PC NPI 1376724575


NPI Information

NPI: 1376724575
Provider Name: AMERICAN SKIN AND CANCER CENTER PC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
25 1ST AVE STE 113
ATLANTIC HIGHLANDS, NJ
ZIP 07716
Phone: (559) 446-1070
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AMERICAN SKIN AND CANCER CENTER PC is a procedural dermatology dermatology in Atlantic Highlands, NJ. The provider is 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). AMERICAN SKIN AND CANCER CENTER PC NPI is 1376724575. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

25 1ST AVE STE 113
ATLANTIC HIGHLANDS, NJ
ZIP 07716-285
Phone: (559) 446-1070
Fax: (877) 300-7092

The provider's authorized official is Babar K Rao .
The authorized official title is Owner and has the following contact phone number (559) 446-1070.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 9/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery25MA07004000NEW JERSEYNo
2207ND0900XDermatologyDermatopathology25MA07004000NEW JERSEYNo
3207NS0135XDermatologyProcedural Dermatology25MA07004000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1041103MEDICARE PINNEW JERSEY
225MA07004000OTHERNEW JERSEYMEDICAL LICENCE NUMBER
3150554MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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