Active NPI
Advanced Dermatology, P.C.
- Dermatology Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA07893300
- Legal business name
- ADVANCED DERMATOLOGY, P.C.
- Practice address
- 570 Egg Harbor Rd Ste C1
Sewell, NJ 08080-2359 - Phone
- (856) 256-8899
- Fax
- (856) 256-8868
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kehua Li, MD
- Title
- President
- Phone
- (856) 256-8899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA07893300 | NJ | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 25MA07893300 | NJ | |
| Dermatopathology Physician | 207ND0900X | 25MA07893300 | NJ |
Addresses
Primary practice location
570 Egg Harbor Rd Ste C1
Sewell, NJ 08080-2359
Mailing address
570 Egg Harbor Rd
Suite C-1
Sewell, NJ 08080-2359
Phone (856) 256-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1078763 | Advanced Dermatology, PC | Compliance | May 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
501 Main St
Ste 2
Bay Saint Louis, MS 39520
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Nurse Practitioner
- Sewell, NJ
- NPI 1811442478
-
- Dermatology Physician
- Sewell, NJ
- NPI 1740392075
-
- Dermatology Physician
- Sewell, NJ
- NPI 1891788121
-
- Dermatology Physician
- Moorestown, NJ
- NPI 1467689018
-
- Dermatology Physician
- Baton Rouge, LA
- NPI 1346775095
-
- Dermatology Physician
- Zachary, LA
- NPI 1326005802
-
- Physician Assistant
- Baton Rouge, LA
- NPI 1629675228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754179200000",
"number": "1124109913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 EGG HARBOR RD",
"address_2": "SUITE C-1",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802359",
"telephone_number": "856-256-8899",
"fax_number": "856-256-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 EGG HARBOR RD STE C1",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802359",
"telephone_number": "856-256-8899",
"fax_number": "856-256-8868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DERMATOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2025-08-03",
"certification_date": "2025-08-03",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "KEHUA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-256-8899",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA07893300",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NJ",
"license": "25MA07893300",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "NJ",
"license": "25MA07893300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
- Active Assist Home Care Services LLC
- Brie Adams, HIS
- Jasmine Adams, RN
- Advance Therapy Associates, Inc.
- Advanced Behavioral Health Services, LLC (Advanced Behavioral Health Services)
- Advanced Health Care Solutions LLC
- Advanced Spine and Pain, LLC (Relievus)
- Advanced Subacute Rehabilitation Center at Sewell, LLC
- Advantage Sleep Centers, LLC (Advantage Sleep Center)
- Advocare, LLC (Advocare Laurel Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.