Active NPI
Skin Cancer and Cosmetic Surgery Center of New Jersey, LLC
- MOHS-Micrographic Surgery Physician
- Edison, NJ
National Provider Identifier
1770067126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- SKIN CANCER AND COSMETIC SURGERY CENTER OF NEW JERSEY, LLC
- Practice address
- 10 Parsonage Rd Ste 312
Edison, NJ 08837-2429 - Phone
- (908) 227-5517
- NPI assigned
- Sep 21, 2018
- Last updated
- Nov 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adriana Lombardi, MD
- Title
- Owner
- Phone
- (908) 420-3933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
10 Parsonage Rd Ste 312
Edison, NJ 08837-2429
Mailing address
10 Parsonage Rd Ste 312
Edison, NJ 08837-2429
Phone (908) 227-5517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10 Parsonage Rd
Ste 312
Edison, NJ 08837
Phone (732) 515-5182
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Edison, NJ
- NPI 1679072268
-
- Family Nurse Practitioner
- West Orange, NJ
- NPI 1659688133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543449600000",
"number": "1770067126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PARSONAGE RD STE 312",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372429",
"telephone_number": "908-227-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PARSONAGE RD STE 312",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372429",
"telephone_number": "908-227-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN CANCER AND COSMETIC SURGERY CENTER OF NEW JERSEY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-21",
"last_updated": "2018-11-29",
"status": "A",
"authorized_official_last_name": "LOMBARDI",
"authorized_official_first_name": "ADRIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-420-3933",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.