Medical & Cosmetic Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA08353300 Issued in NJ

Legal business name

MEDICAL & COSMETIC DERMATOLOGY ASSOCIATES

Practice address

833 Franklin Ave
Franklin Lakes, NJ 07417-1410

Phone

(201) 644-0228

Fax

(201) 644-0229

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Heba Abdulla, M.D.NPI 1104024405

Title

Medical Director

Phone

(201) 644-0228

Specialties & licenses 1

Addresses

Other names 1

• Lakes Skin Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heba Abdulla, M.D.

  • Dermatology Physician
  • Franklin Lakes, NJ
  • NPI 1104024405
  Medicare reassignment Care Compare group NPD Authorized official
• Fariha Siddiqui, M.D.

  • Dermatology Physician
  • Edison, NJ
  • NPI 1194257683
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1083846091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171410",
            "telephone_number": "201-644-0228",
            "fax_number": "201-644-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171410",
            "telephone_number": "201-644-0228",
            "fax_number": "201-644-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & COSMETIC DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "ABDULLA",
        "authorized_official_first_name": "HEBA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-644-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08353300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Skin Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy Martin, CA, L.AC.,A.H.G., PC
• Breyonna Martinez Jones
• Patricia Masterson-Kane, LCSW, ACSW, MSW
• Matthew J. Krieger, DMD
• Rena Chanelle McClain, PHARM.D
• Angelina Mekhail
• Dean P. Mellas, P.A.-C
• Ramesh Dharamdas Melwani, M.D.
• Mental Health Institute of New Jersey
• Griffin Meyers, PT

• Dermatology Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, 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 Mar 3, 2026; 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.