Dermatology of South Jersey LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMATOLOGY OF SOUTH JERSEY LLC

Practice address

2301 E Evesham Rd Ste 203
Voorhees, NJ 08043-4501

Phone

(215) 315-3197

Fax

(215) 689-4466

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Mark Abdelmalek, MDNPI 1972543155

Title

Owner

Phone

(215) 315-3197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Mark Abdelmalek, M.D.

  • MOHS-Micrographic Surgery Physician
  • Philadelphia, PA
  • NPI 1972543155

  NJ

  Medicare reassignment NPD Authorized official
• Jaryd Freedman, MD

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1528327327

  NJ

  Medicare reassignment NPD
• Julianna Nicole Davis, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
  • NPI 1871000323

  NJ

  Medicare reassignment
• Trisha Sujaya Dasgupta, M.D.

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1508153545
  NPD
• Shoshana Grossman, M.D.

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1720511074
  NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1528822152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021202",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 203",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Route 73 S",
            "address_2": "Ste 302/303",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080539642",
            "country_code": "US",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY OF SOUTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "ABDELMALEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-315-3197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Arts of South Jersey, P.C.
• Dental Care of Southern New Jersey PA
• Dental Specialists of Voorhees
• Anthony Carl Depativo, D.C.
• Dermatology and Skin Care Center
• Jonel M Dershem, MD
• Anand Desai, M.D.
• Jessica Ann Deschamps
• Giovanna Salvatore Devito, PHD
• Alexx Jocelyn Devlin, QMHP

• MOHS-Micrographic Surgery Physician in Voorhees, NJ
• Providers in Voorhees, 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 Mar 17, 2026; 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.