Individual provider Active NPI

Julianne H Kuflik, MD

  • Dermatology Physician
  • Lakewood, NJ
National Provider Identifier
1295849065
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA06948200 Issued in NJ
Practice address
150 E Kennedy Blvd
Lakewood, NJ 08701-1345
Phone
(732) 364-0515
Fax
(732) 364-6006
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA06948200 NJ Primary
MOHS-Micrographic Surgery Physician 207ND0101X 25MA06948200 NJ
Procedural Dermatology Physician 207NS0135X 25MA06948200 NJ

Addresses

Primary practice location

150 E Kennedy Blvd
Lakewood, NJ 08701-1345

Mailing address

150 E Kennedy Blvd
Lakewood, NJ 08701-1345
Phone (732) 364-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000800 NJ Practitioner - Dermatology 8426246265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuflik Dermatology PAGroup PAC ID 6901891654, 9 clinicians

Practice addresses (Care Compare)

2130 Hwy 35
Sea Girt, NJ 08750-1010
Phone (732) 282-9660

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions12
Removal of skin cancer296
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kuflik Dermatology, P. a. Dermatology CurrentSince Jul 1, 2002 Accepting new patients

Locations

150 E Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 364-0515

2130 Route 35
Sea Girt, NJ 08750
Phone (732) 282-9660

2130 Highway 35
Ste A113
Sea Girt, NJ 08750

453 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 341-0515

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1295849065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011345",
            "telephone_number": "732-364-0515",
            "fax_number": "732-364-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011345",
            "telephone_number": "732-364-0515",
            "fax_number": "732-364-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFLIK",
        "first_name": "JULIANNE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA06948200",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA06948200",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA06948200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.