NPIMap

Organization Active NPI

Tareen Dermatology, PA

  • Non-Pharmacy Dispensing Site
  • Maplewood, MN
National Provider Identifier
1851856504
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
TAREEN DERMATOLOGY, PA
Practice address
2945 Hazelwood St Ste 230
Maplewood, MN 55109-1241
Phone
(651) 633-6883
Fax
(651) 528-6276
NPI assigned
Feb 7, 2019
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Dr. Mohiba K Tareen, MDNPI 1740448117
Title
Owner/ Medical Director
Phone
(651) 633-6883

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

2945 Hazelwood St Ste 230
Maplewood, MN 55109-1241

Mailing address

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone (651) 633-6883

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2170452Tareen Dermatology2945 Hazelwood St Ste 230, Maplewood, MN 55109Provider-performed microscopyNov 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tareen Dermatology PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1835 County Road C W
Ste 250
Saint Paul, MN 55113

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1851856504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 FAIRVIEW AVE N STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131306",
            "telephone_number": "651-633-6883",
            "fax_number": "651-331-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 230",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091241",
            "telephone_number": "651-633-6883",
            "fax_number": "651-528-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREEN DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "TAREEN",
        "authorized_official_first_name": "MOHIBA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "651-633-6883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.