Individual provider Active NPI

Denise Mastromonaco, D.O.

  • Dermatology Physician
  • Red Bank, NJ
National Provider Identifier
1336399112
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB06489100 Issued in NJ
Practice address
331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691
Phone
(732) 426-3420
NPI assigned
Sep 29, 2008
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MB06489100 NJ
Specialist 174400000X 05010384 PA
Dermatology Physician 207N00000X 25MB06489100 NJ Primary

Addresses

Primary practice location

331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691

Mailing address

200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
Phone (732) 741-0970

Other identifiers 1

IdentifierTypeStateIssuer
8368406MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090723000416 NJ Practitioner - Dermatology 0244382182 Reassigns benefits to 1 organization
I20180222000571 PA Practitioner - Dermatology 0244382182 Reassigns benefits to 1 organization
I20250416002133 NC Practitioner - Dermatology 0244382182

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05010384PAMDSpecialist
25MB06489100NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tasker Healthcare Group PC Specialist CurrentSince Jan 10, 2018 Accepting new patients
The Plastic Surgery Center CurrentSince Jun 19, 2026 Accepting new patients
Dermatology Associates of South Jersey, L.L.C. Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Retinovitreous Associates LTD Past Accepting new patients
Lawrence Paolini, DO, PC Dermatology Past Accepting new patients

Locations

112 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-5353

112 White Horse Pike
#30
Haddon Hgts, NJ 08035
Phone (856) 546-5353

150 Century Pkwy
Ste 105
Mount Laurel, NJ 08054
Phone (856) 206-0201

200 Schulz Dr
Ste 2
Red Bank, NJ 07701

331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101

65 E Butler Ave
Ste 202
New Britain, PA 18901
Phone (215) 836-7212

910 E Willow Grove Ave
Wyndmoor, PA 19038
Phone (215) 233-4300

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1336399112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHULZ DR STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016745",
            "telephone_number": "732-741-0970",
            "fax_number": "848-800-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015691",
            "telephone_number": "732-426-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROMONACO",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB06489100",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "05010384",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB06489100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8368406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.