Cosmetic and Procedural Dermatology Center, LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

25MA07887600 Issued in NJ

Legal business name

COSMETIC AND PROCEDURAL DERMATOLOGY CENTER, LLC

Practice address

215 Morris Ave
Spring Lake, NJ 07762-1360

Phone

(732) 449-3005

Fax

(732) 449-5110

NPI assigned

Jan 1, 2007

Last updated

Mar 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J. Barton Sterling, M.D.NPI 1053478180

Title

Medical Director

Phone

(732) 449-3005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• J.Barton Sterling, M.D.

  • MOHS-Micrographic Surgery Physician
  • Spring Lake, NJ
  • NPI 1053478180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1295892339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MORRIS AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621360",
            "telephone_number": "732-449-3005",
            "fax_number": "732-449-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MORRIS AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621360",
            "telephone_number": "732-449-3005",
            "fax_number": "732-449-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND PROCEDURAL DERMATOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "J. BARTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-449-3005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA07887600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Chiusano, RN
• Peter Enrico Ciampi, DDS
• Rossana Fiorita Ciampi, DDS
• Maura E Conniff, D.M.D.
• Manuela Valventos Correia-Guerra, MA, LPC
• Jessica M Cowan, LSW
• Barbara Coyle, LCSW
• Kalyan Dandu, PHARM. D.
• Daniela Diaz
• Donald M Micallef MD PC

• MOHS-Micrographic Surgery Physician in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• MOHS-Micrographic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.

Verify at the official NPI Registry.