Individual provider Active NPI

Otter Quaking Aspen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Rockaway, NJ
National Provider Identifier
1356316020
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25MA08902100 Issued in NJ
Practice address
35 Green Pond Rd
Rockaway, NJ 07866-2052
Phone
(973) 625-0600
Fax
(973) 625-3434
NPI assigned
Feb 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 225819 MA
MOHS-Micrographic Surgery Physician 207ND0101X 25MA08902100 NJ Primary

Addresses

Primary practice location

35 Green Pond Rd
Rockaway, NJ 07866-2052

Mailing address

35 Green Pond Rd
Rockaway, NJ 07866-2052
Phone (973) 625-0600

Other practice location 1

1616 Route 72 W Ste 2
Manahawkin, NJ 08050-5131
Phone (973) 625-0600 ext. 213

Other practice location 2

214 Commons Way Bldg B
Toms River, NJ 08755-6427
Phone (973) 625-0600 ext. 213

Other practice location 3

609 Albany St
Boston, MA 02118-2652
Phone (617) 638-5500

Other practice location 4

601 Route 37 W Ste 105
Toms River, NJ 08755-8050
Phone (973) 625-0600 ext. 213

Other practice location 5

526 Bloomfield Ave Ste 202
Caldwell, NJ 07006-5525
Phone (973) 625-0600 ext. 213

Other practice location 6

7 Oak Ridge Rd Apt 3
Newfoundland, NJ 07435-1439
Phone (973) 625-0600 ext. 213

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
I20110929000604 NJ Practitioner - Dermatology 2860595063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

200 Tilton Rd
Suite 5
Northfield, NJ 08225-1270
Phone (212) 283-3000

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) excision797
Removal of skin lesions166
Removal of skin cancer1314
Removal or shaving of skin growth73
Skin biopsy35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08902100NJMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Dermatology CurrentSince Jul 15, 2018 Accepting new patients
Benedetto Dermatology,LLC Past Accepting new patients
Benedetto Dermatology, LLC Mohs-Micrographic Surgery Past Accepting new patients

Locations

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

1000 State Route 35
Ste 200
Middletown, NJ 07748
Phone (732) 837-3313

310 Madison Ave
Ste 206
Morristown, NJ 07960

200 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 400-3910

1527 State Route 27
Ste B100
Somerset, NJ 08873

368 Lakehurst Rd
Ste 201
Toms River, NJ 08755
Phone (732) 505-1500

Interoperability endpoints

  • Direct secure messaging: otter.aspen@schweigerderm.emadirect.md

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356316020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662052",
            "telephone_number": "973-625-0600",
            "fax_number": "973-625-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662052",
            "telephone_number": "973-625-0600",
            "fax_number": "973-625-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Route 72 W Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080505131",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Commons Way Bldg B",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087556427",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182652",
            "country_code": "US",
            "telephone_number": "617-638-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Route 37 W Ste 105",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087558050",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "526 Bloomfield Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "NJ",
            "postal_code": "070065525",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Oak Ridge Rd Apt 3",
            "address_purpose": "LOCATION",
            "city": "Newfoundland",
            "state": "NJ",
            "postal_code": "074351439",
            "country_code": "US",
            "telephone_number": "973-625-0600 x213",
            "fax_number": "973-625-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASPEN",
        "first_name": "OTTER",
        "middle_name": "QUAKING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "225819",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA08902100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.