NJ Certified Dermatology PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

NJ CERTIFIED DERMATOLOGY PC

Practice address

123 W White Horse Pike
Galloway, NJ 08205-9447

Phone

(732) 456-7777

Fax

(848) 251-2191

NPI assigned

Jan 28, 2026

Organization subpart

No

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

Authorized official

Name

Lawrence Lazelle Anderson

Title

President/Owner

Phone

(903) 521-6143

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

NJ Certified Dermatology PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• NJ Certified Dermatology PC

  • Non-Pharmacy Dispensing Site
  • Hamilton, NJ
  • NPI 1033069307
  NPD tax ID
• NJ Certified Dermatology PC

  • Non-Pharmacy Dispensing Site
  • Neptune, NJ
  • NPI 1255281531
  NPD tax ID
• NJ Certified Dermatology PC

  • Non-Pharmacy Dispensing Site
  • Holmdel, NJ
  • NPI 1518817881
  NPD tax ID

Locations

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1912857293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 17",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W WHITE HORSE PIKE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059447",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ CERTIFIED DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "LAZELLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-521-6143"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurology Institute of South Jersey PA
• New Jersey CVS Pharmacy LLC
• New Jersey CVS Pharmacy LLC
• Pamela Dimitrius Nichols
• Shelby Nilsen, LCSW
• NJ Primary Healthcare Center
• NJNP Healthcare LLC
• Brighid M Noel, MSW, LCSW
• Tara O'Keefe, MA. LCADC. RDT.
• Lama Obeid, MD

• All providers in Galloway, NJ
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.