Individual provider Active NPI

Risa Jill Gorin, D.O.

  • Dermatology Physician
  • Red Bank, NJ
National Provider Identifier
1770524274
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MB07615100 Issued in NJ
Practice address
225 Hwy 35 Ste 208
Red Bank, NJ 07701-5919
Phone
(732) 747-5500
Fax
(732) 747-1212
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MB07615100 NJ Primary

Addresses

Primary practice location

225 Hwy 35 Ste 208
Red Bank, NJ 07701-5919

Mailing address

2026 Briggs Rd Ste B
Mount Laurel, NJ 08054-4602
Phone (609) 288-6884

Other practice location 1

2026 Briggs Rd Ste B
Mount Laurel, NJ 08054-4602
Phone (609) 288-6884

Other practice location 2

707 White Horse Rd
Suite C-103
Voorhees, NJ 08043-2461
Phone (856) 627-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000014 NJ Practitioner - Dermatology 7113980079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rowan University School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baratta Dermatology LLCGroup PAC ID 6305131533, 3 clinicians
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Christopher B. Kruse, M.D., LLCGroup PAC ID 5890849020, 14 clinicians

Practice addresses (Care Compare)

2026 B Briggs Rd
Suite 100
Mount Laurel, NJ 08054-4601

2026 B Briggs Rd
Suite 100
Mount Laurel, NJ 08054-4607
Phone (609) 288-6884

225 State Route 35
Suite 208
Red Bank, NJ 07701-5919
Phone (732) 747-5500

Merit-based Incentive Payment System (MIPS)

Final score
82.52 of 100Reported as group
Quality
73.79
Improvement activities
40
Cost
76.67

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1202
Removal or shaving of skin growth56
Skin biopsy658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB07615100NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher B. Kruse, M.D., LLC Dermatology CurrentSince Mar 10, 2014 Accepting new patients
Baratta Dermatology LLC Dermatology CurrentSince Apr 1, 2024 Accepting new patients
Aesthetic Dermatology, LLC Dermatology PastSince Jul 1, 2004 Accepting new patients

Locations

2026 Briggs Rd
Ste B
Mount Laurel, NJ 08054
Phone (609) 288-6884

2026 Briggs Rd
Ste 100
Mount Laurel, NJ 08054
Phone (609) 288-6884

225 State Route 35
Ste 208
Red Bank, NJ 07701
Phone (732) 747-1110

55 N Gilbert St
Ste 1201
Tinton Falls, NJ 07701
Phone (732) 747-5500

Interoperability endpoints

  • Direct secure messaging: risa.gorin@qdp.emadirect.md
  • Direct secure messaging: rgorin@directaddress.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1770524274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 BRIGGS RD STE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544602",
            "telephone_number": "609-288-6884",
            "fax_number": "609-667-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HWY 35 STE 208",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015919",
            "telephone_number": "732-747-5500",
            "fax_number": "732-747-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 Briggs Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544602",
            "country_code": "US",
            "telephone_number": "609-288-6884",
            "fax_number": "609-667-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 White Horse Rd",
            "address_2": "Suite C-103",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432461",
            "country_code": "US",
            "telephone_number": "856-627-1900",
            "fax_number": "856-627-6907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORIN",
        "first_name": "RISA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MB07615100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.