NPIMap

Organization Active NPI

Advanced Dermatology Laser and Mohs Surgery Center

  • Procedural Dermatology Physician
  • Westfield, NJ
National Provider Identifier
1164416301
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
ADVANCED DERMATOLOGY LASER AND MOHS SURGERY CENTER
Practice address
240 E Grove St
Westfield, NJ 07090-1687
Phone
(908) 232-6446
Fax
(908) 232-6447
NPI assigned
Sep 2, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jerold Bruce Graff, MDNPI 1174517312
Title
President
Phone
(908) 232-6446

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
MOHS-Micrographic Surgery Physician 207ND0101X NU
Procedural Dermatology Physician 207NS0135X NU Primary

Addresses

Primary practice location

240 E Grove St
Westfield, NJ 07090-1687

Mailing address

240 E Grove St
Westfield, NJ 07090-1687
Phone (908) 232-6446

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164416301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E GROVE ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901687",
            "telephone_number": "908-232-6446",
            "fax_number": "908-232-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E GROVE ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901687",
            "telephone_number": "908-232-6446",
            "fax_number": "908-232-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY LASER AND MOHS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-232-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.