Active NPI
LL Advanced Aesthetics
- Dermatology Physician
- Shrewsbury, NJ
National Provider Identifier
1932917358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- LL ADVANCED AESTHETICS
- Practice address
- 750 Broad St Ste 104
Shrewsbury, NJ 07702-4230 - Phone
- (732) 687-9212
- Fax
- (732) 201-5709
- NPI assigned
- Dec 19, 2024
- Last updated
- Sep 5, 2025
- 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
- Larissa Lobato, APN
- Title
- Managing Member
- Phone
- (732) 687-9212
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
750 Broad St Ste 104
Shrewsbury, NJ 07702-4230
Mailing address
23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
750 Broad St
Ste 104
Shrewsbury, NJ 07702
Phone (732) 687-9212
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Shrewsbury, NJ
- NPI 1023367166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1932917358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 N DELSEA DR UNIT B",
"city": "CLAYTON",
"state": "NJ",
"postal_code": "083121637",
"telephone_number": "856-423-7700",
"fax_number": "856-423-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BROAD ST STE 104",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024230",
"telephone_number": "732-687-9212",
"fax_number": "732-201-5709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LL ADVANCED AESTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "LOBATO",
"authorized_official_first_name": "LARISSA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "732-687-9212",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.