Dermatology & Skin Surgery Center of Princeton LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

25MA06571600 Issued in NJ

Legal business name

DERMATOLOGY & SKIN SURGERY CENTER OF PRINCETON LLC

Practice address

8 Forrestal Rd S Ste 202
Princeton, NJ 08540-6658

Phone

(609) 799-6222

Fax

(609) 799-6555

NPI assigned

Jan 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John E Vine, M.D.NPI 1720044670

Title

Owner

Phone

(609) 799-6222

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 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John E Vine, M.D.

  • MOHS-Micrographic Surgery Physician
  • Princeton, NJ
  • NPI 1720044670
  Medicare reassignment Care Compare group NPD Authorized official
• Ezra Hazan

  • MOHS-Micrographic Surgery Physician
  • Brooklyn, NY
  • NPI 1649666975

  NJ

  Medicare reassignment Care Compare group NPD
• Nicole K Lazzaro, PA-C

  • Medical Physician Assistant
  • Princeton, NJ
  • NPI 1851651889
  Medicare reassignment Care Compare group
• Brian Patrick Calio Jr., MD

  • Urology Physician
  • Plainsboro, NJ
  • NPI 1851854624
  NPD
• Jenna Skrajewski, APN

  • Acute Care Nurse Practitioner
  • Plainsboro, NJ
  • NPI 1184480964
  NPD
• Michael William Bickell, D.O.

  • Urology Physician
  • Plainsboro, NJ
  • NPI 1285947671
  NPD (past)
• Sean Thomas McGinley, M.D.

  • Urology Physician
  • Plainsboro, NJ
  • NPI 1659790319
  NPD (past)
• Franz Lheana K Yabis, APN-C

  • Nurse Practitioner
  • Plainsboro, NJ
  • NPI 1679389027
  NPD (past)
• Benjamin Schurhamer, MD

  • Urology Physician
  • Philadelphia, PA
  • NPI 1720432578
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1386981884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FORRESTAL RD S STE 202",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406658",
            "telephone_number": "609-799-6222",
            "fax_number": "609-799-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FORRESTAL RD S STE 202",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406658",
            "telephone_number": "609-799-6222",
            "fax_number": "609-799-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN SURGERY CENTER OF PRINCETON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "VINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-799-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA06571600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Physical Medicine and Rehab
• Emily Deppe, PHARMD
• Dept. of Med, C/O Carl O'Brien Dba Princeton Hosp. Medical Assocs.
• Megan Deriso, PSYD
• Derma Sciences, Inc
• Dermatology Institute of Princeton LLC
• Padma Desai, M.A.
• Urvi Desai
• Julia T. Desanctis, M.D.
• Anna Desimone, LPC

• MOHS-Micrographic Surgery Physician in Princeton, NJ
• Providers in Princeton, 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 Feb 25, 2025; 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.