NPIMap

Organization Active NPI

NJ Certified Dermatology PC

  • Non-Pharmacy Dispensing Site
  • Hamilton, NJ
National Provider Identifier
1033069307
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
NJ CERTIFIED DERMATOLOGY PC
Practice address
2275 Route 33 Ste 303
Hamilton, NJ 08690-1748
Phone
(732) 456-7777
Fax
(848) 251-2191
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Lawrence Lazelle Anderson
Title
President/Owner
Phone
(903) 521-6143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2275 Route 33 Ste 303
Hamilton, NJ 08690-1748

Mailing address

1580 Lakewood Rd Ste 17
Toms River, NJ 08755-3287
Phone (732) 456-7777

National Provider Directory

National Provider Directory
Tax ID family
NJ Certified Dermatology PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1033069307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 17",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 ROUTE 33 STE 303",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901748",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ CERTIFIED DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "LAZELLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-521-6143"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.