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SKIN CANCER & MOHS SURGERY LLC NPI 1588205991


NPI Information

NPI: 1588205991
Provider Name: SKIN CANCER & MOHS SURGERY LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 31D2273559

Address:
82 E ALLENDALE RD STE 8A
SADDLE RIVER, NJ
ZIP 07458
Phone: (201) 350-5300
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SKIN CANCER & MOHS SURGERY LLC is a mohs-micrographic surgery dermatology in Saddle River, NJ. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. SKIN CANCER & MOHS SURGERY LLC NPI is 1588205991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

82 E ALLENDALE RD STE 8A
SADDLE RIVER, NJ
ZIP 07458-057
Phone: (201) 350-5300

The provider's authorized official is Gangaram Ragi .
The authorized official title is Administrator and has the following contact phone number (201) 836-9696.

The CLIA number assigned to this NPI record is 31D2273559 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/7/2019.


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 SurgeryYes

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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