Santiago Alberto Centurion, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA07649600 Issued in NJ

Practice address

3548 US Highway 9 Ste 2
Old Bridge, NJ 08857-2963

Phone

(732) 679-6300

Fax

(732) 679-9566

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, CA2 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

Specialty

Dermatology

Education

Rutgers New Jersey Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Bay Dermatology AssociatesGroup PAC ID 5698678118, 2 clinicians

Dermatology Associates of Central New Jersey PAGroup PAC ID 4688697394, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.83 of 100Reported as group

Quality

99.69

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Bay Dermatology Associates

  • Specialist
  • Petaluma, CA
  • NPI 1275622664
  Medicare reassignment Care Compare group Authorized official
• Dermatology Associates of Central New Jersey, PA

  • MOHS-Micrographic Surgery Physician
  • Old Bridge, NJ
  • NPI 1104950013
  Medicare reassignment Care Compare group NPD
• Bayonne Dermatology Associates

  • Specialist
  • Bayonne, NJ
  • NPI 1659583227

  Dermatology

  NPD (past)
• Dmitry Khasak MD PC Inc

  • Dermatology Physician
  • Jersey City, NJ
  • NPI 1679835946
  NPD (past)
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  NPD (past)
• Ligresti Dermatology Associates PA

  • Dermatology Physician
  • Belleville, NJ
  • NPI 1710031919
  NPD (past)
• Shonta D Collins Consulting Group LLC

  • Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1144797416
  NPD (past)
• Vision Eye Physicians and Surgeons LLC

  • Specialist
  • Belleville, NJ
  • NPI 1831397843
  NPD (past)
• SRM Alliance Hospital Services

  • Skilled Nursing Facility
  • Petaluma, CA
  • NPI 1770703886
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1710099585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 US HIGHWAY 9 STE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572963",
            "telephone_number": "732-679-6300",
            "fax_number": "732-679-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 US HIGHWAY 9 STE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572963",
            "telephone_number": "732-679-6300",
            "fax_number": "732-679-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Lynch Creek Way",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949542356",
            "country_code": "US",
            "telephone_number": "707-763-6816",
            "fax_number": "707-763-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTURION",
        "first_name": "SANTIAGO",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A866380",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA07649600",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A866380",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07649600",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MA07649600",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "231911-1",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "231911-1",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "231911-1",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A866380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Family Medicine,PA
• Center for Family Support, New Jersey, Inc.
• Center for Pain and Spine Care, LLC
• Central Old Bridge Emergency Medical Service Inc
• Cristina S Centurion, NP-C
• Neelam Chand
• Pinaki Chattopadhyay, PHARMACIST
• Shaukat Chaudhery, MD
• Santhosh K Cheela, MD
• Kevin Chen, MD

• Dermatology Physician in Old Bridge, NJ
• Providers in Old Bridge, 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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.