NJ Certified Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NJ CERTIFIED DERMATOLOGY PC

Practice address

26 Highway 35 N
Neptune, NJ 07753-4743

Phone

(732) 456-7777

Fax

(732) 797-9110

NPI assigned

May 21, 2016

Last updated

Dec 4, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence L Anderson, MDNPI 1134159627

Title

Owner

Phone

(903) 521-6143

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• NJ Certified Dermatology PC

  dba Dedicated Dermatology

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241

  9931492287

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• NJ Certified Dermatology PC

  • Dermatology Physician
  • Bayonne, NJ
  • NPI 1487169702

  O20160725000074

  Same enrollment

Locations (25 of 36)

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Atmatzidis, MD

  • Dermatology Physician
  • Morristown, NJ
  • NPI 1235634767
  Medicare reassignment Care Compare group NPD
• Melissa Cerceo

  • Family Nurse Practitioner
  • Manahawkin, NJ
  • NPI 1700642279
  Medicare reassignment Care Compare group NPD
• Nicole Marie Clark, APRN

  • Family Nurse Practitioner
  • Mantua, NJ
  • NPI 1689395311
  Medicare reassignment Care Compare group NPD
• Melissa K Dixon, MD

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1891745790
  Medicare reassignment Care Compare group NPD
• Aryay Gefen

  • Nurse Practitioner
  • Marlboro, NJ
  • NPI 1962884791
  Medicare reassignment Care Compare group NPD
• Rami E Geffner, MD

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1366491110
  Medicare reassignment Care Compare group NPD
• Hillary L. Grote, RN, MSN, APN-C

  • Family Nurse Practitioner
  • Northfield, NJ
  • NPI 1497450910
  Medicare reassignment Care Compare group NPD
• Ritu Gupta, APN

  • Family Nurse Practitioner
  • Highland Park, NJ
  • NPI 1922344399
  Medicare reassignment Care Compare group NPD
• Sunita Jadhav, NP

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1750044145

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Coty Kalbach, PA-C

  • Medical Physician Assistant
  • West Deptford, NJ
  • NPI 1093167272
  Medicare reassignment Care Compare group NPD
• Jaclyn Lanciano, FNP

  • Family Nurse Practitioner
  • Neptune, NJ
  • NPI 1417514357
  Medicare reassignment Care Compare group NPD
• Manhong Ma, MD

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1164472965
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1003263807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD",
            "address_2": "UNIT 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HIGHWAY 35 N",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534743",
            "telephone_number": "732-456-7777",
            "fax_number": "732-797-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 Route 33 Ste 303",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086901748",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 N Beers St Ste 1C-1D",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331518",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ CERTIFIED DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-521-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0579912",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "517245",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Gene Nicholson
• Brandon Nightingale, MD
• Nijah Therapeutic Services
• Loretta M Ninivaggi, RN, APN,C CDE
• NJ Behavioral Health Specialists
• NJ Certified Dermatology PC
• NJ Sweet Home Health LLC
• Jordan Simmons Norton, MD
• Elizabeth Novobilsky, CCC-SLP
• Anna Nowinowska, MD

• Dermatology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.