Skin & Laser Center of NJ, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA08780100 Issued in NJ

Legal business name

SKIN & LASER CENTER OF NJ, LLC

Practice address

500 N Franklin Tpke Ste 318
Ramsey, NJ 07446-1160

Phone

(201) 500-7525

Fax

(201) 500-7527

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Jocelyn Lieb, MDNPI 1891945341

Title

Sole Member

Phone

(201) 500-7525

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00410

Practitioners 9

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

• Jocelyn Ann Lieb, MD

  • Dermatology Physician
  • Ramsey, NJ
  • NPI 1891945341
  Medicare reassignment Care Compare group NPD Authorized official
• Bridget Kaufman, M.D.

  • Dermatology Physician
  • Ramsey, NJ
  • NPI 1003202748
  Medicare reassignment Care Compare group NPD
• Andrea Tan, MD

  • MOHS-Micrographic Surgery Physician
  • Ramsey, NJ
  • NPI 1447887518
  Medicare reassignment Care Compare group NPD
• Adam Nabatian, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1548569437

  NJ

  Medicare reassignment Care Compare group NPD
• Mimi Oliff, PA-C

  • Surgical Physician Assistant
  • West Orange, NJ
  • NPI 1568772093
  Medicare reassignment Care Compare group
• Zinoviya Petryshyn, PA-C

  • Physician Assistant
  • West Orange, NJ
  • NPI 1417208364
  Medicare reassignment Care Compare group
• Ann Marie Hembrough, PA-C

  • Medical Physician Assistant
  • Laguna Beach, CA
  • NPI 1699931725

  NJ

  Medicare reassignment Care Compare group
• Tyler Jon Long, DO

  • Dermatology Physician
  • The Villages, FL
  • NPI 1851954242

  NJ

  Medicare reassignment NPD
• Christa Jean Keyzer, NP

  • Family Nurse Practitioner
  • Suffern, NY
  • NPI 1942190301
  Care Compare group

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1518310366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N FRANKLIN TPKE STE 318",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461160",
            "telephone_number": "201-500-7525",
            "fax_number": "201-500-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FRANKLIN TPKE STE 318",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461160",
            "telephone_number": "201-500-7525",
            "fax_number": "201-500-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN & LASER CENTER OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "LIEB",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "201-500-7525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08780100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Shulman, LSW
• Shurminsky Eyecare LLC
• Elisa Silecchia
• Joshua Silvestre, DPT
• Mark Sinclair, LAC
• Mark Smiley, LAC
• Jessica Marie Smith
• Michael Song, MD
• Simon Song
• Spectrum Support Services, LLC

• Dermatology Physician in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.