K Dermatology & Aesthetic Center LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

K DERMATOLOGY & AESTHETIC CENTER LLC

Practice address

340 State Route 34
Colts Neck, NJ 07722-2433

Phone

(312) 401-5430

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Sairah Khokher, MDNPI 1376798454

Title

MD/Owner

Phone

(312) 401-5430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sairah Khokher, M.D

  • Dermatology Physician
  • Ewing, NJ
  • NPI 1376798454
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1912529637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 STATE ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 STATE ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222433",
            "telephone_number": "312-401-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K DERMATOLOGY & AESTHETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "KHOKHER",
        "authorized_official_first_name": "SAIRAH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "312-401-5430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Portaro, LCSW LLC
• Christin Noel Johnston, MOT,OTR/L
• Christopher Jones, DPT
• Mabell Jones
• Jupiter Imaging Associates Inc
• Karen Carbone LLC
• Howard A Katz, D.O.
• Keiron Greaves, MD PC
• Suzanne Kelly, CD(DONA)
• Ritu Khullar, M.D.

• Procedural Dermatology Physician in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Procedural Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.