Individual provider Active NPI

Lauren Sulochana Mohan

  • Dermatology Physician
  • Glenview, IL
National Provider Identifier
1457974123
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA12623900 Issued in NJ
Practice address
2356 Mohawk LN
Glenview, IL 60026-1058
Phone
(847) 610-0926
Fax
(847) 272-5822
NPI assigned
May 28, 2020
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA12623900 NJ Primary

Addresses

Primary practice location

2356 Mohawk LN
Glenview, IL 60026-1058

Mailing address

2356 Mohawk LN
Glenview, IL 60026-1058
Phone (847) 610-0926

Other practice location 1

20 Prospect Ave Ste 702
Hackensack, NJ 07601-1974
Phone (888) 344-5776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250414001616 NJ Practitioner - Dermatology 0648678045 Reassigns benefits to 1 organization
I20260507004090 NY Practitioner - Dermatology 0648678045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2021
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)

105 Raider Blvd
Suite 203
Hillsborough, NJ 08844-1528
Phone (212) 283-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12623900NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC Dermatology CurrentSince Feb 9, 2025 Accepting new patients
Chicago Neurology Group SC PastSince Apr 11, 2021 Accepting new patients
Aaa Healthcare PastSince Apr 11, 2021 Accepting new patients

Locations

20 Prospect Ave
Ste 702
Hackensack, NJ 07601
Phone (201) 441-9890

401 Hackensack Ave
Ste 101
Hackensack, NJ 07601

401 Hackensack Ave
Ste 104
Hackensack, NJ 07601
Phone (201) 979-8910

105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 441-9890

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Organizations & group practices 4

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1457974123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MOHAWK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261058",
            "telephone_number": "847-610-0926",
            "fax_number": "847-272-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MOHAWK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261058",
            "telephone_number": "847-610-0926",
            "fax_number": "847-272-5822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Prospect Ave Ste 702",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011974",
            "country_code": "US",
            "telephone_number": "888-344-5776",
            "fax_number": "646-665-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "LAUREN",
        "middle_name": "SULOCHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA12623900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.