Skingraft NJ LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SKINGRAFT NJ LLC

Practice address

37 Hampton Hollow Dr
Millstone Township, NJ 08535-1004

Phone

(917) 685-5497

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Yuliya AlbuNPI 1740763788

Title

Owner

Phone

(917) 685-5497

Specialties & licenses 1

Addresses

Other names 1

• complete wellness and wound care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Yuliya Albu

  • Adult Health Nurse Practitioner
  • Millstone Township, NJ
  • NPI 1740763788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1619702255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HAMPTON HOLLOW DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085351004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HAMPTON HOLLOW DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085351004",
            "telephone_number": "917-685-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINGRAFT NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "ALBU",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-685-5497"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "complete wellness and wound care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Salvatore, PT, DPT
• Justin Scarano
• Piyamaporn Schoenefeld
• Hardi Shah
• Ishani Ripple Shah
• Sarah Tadros, PA-C
• Visions 2013 LLC
• Heidi Rebecca Zerlin, MA SPECIAL ED

• Multi-Specialty Clinic/Center in Millstone Township, NJ
• Providers in Millstone Township, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.