NPIMap

Organization Active NPI

American Skin and Cancer Center PC

  • Procedural Dermatology Physician
  • Atlantic Highlands, NJ
National Provider Identifier
1376724575
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
25MA07004000 Issued in NJ
Legal business name
AMERICAN SKIN AND CANCER CENTER PC
Practice address
25 1St Ave Ste 113
Atlantic Highlands, NJ 07716-1285
Phone
(559) 446-1070
Fax
(877) 300-7092
NPI assigned
Nov 16, 2007
Last updated
Sep 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Dr. Babar K Rao, M.DNPI 1447275904
Title
Owner
Phone
(559) 446-1070

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
MOHS-Micrographic Surgery Physician 207ND0101X 25MA07004000 NJ
Dermatopathology Physician 207ND0900X 25MA07004000 NJ
Procedural Dermatology Physician 207NS0135X 25MA07004000 NJ Primary

Addresses

Primary practice location

25 1St Ave Ste 113
Atlantic Highlands, NJ 07716-1285

Mailing address

25 1St Ave
Suite 113
Atlantic Highlands, NJ 07716-1284
Phone (559) 446-1070

Other identifiers 1

IdentifierTypeStateIssuer
25MA07004000OtherNJMEDICAL LICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000431 NJ Part B Supplier - Clinic/Group Practice 6800815655 Receives reassigned benefits from 6 practitioners
Practice locations: Atlantic Highlands, NJ; Woodbridge, NJ

National Provider Directory

National Provider Directory

Locations

25 1st Ave
Ste 113
Atlantic Highlands, NJ 07716
Phone (559) 446-1070

95 1st Ave
Atlantic Hlds, NJ 07716
Phone (732) 872-2007

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1376724575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 1ST AVE",
            "address_2": "SUITE 113",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161284",
            "telephone_number": "559-446-1070",
            "fax_number": "877-300-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE STE 113",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161285",
            "telephone_number": "559-446-1070",
            "fax_number": "877-300-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SKIN AND CANCER CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "BABAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-446-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA07004000",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MA07004000",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA07004000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "25MA07004000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.