Organization Active NPI

LL Advanced Aesthetics

  • Dermatology Physician
  • Shrewsbury, NJ
National Provider Identifier
1932917358
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Larissa Lobato, APNNPI 1023367166
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20250311000064 NJ Part B Supplier - Clinic/Group Practice 8628599370 Receives reassigned benefits from 1 practitioner
Practice locations: Shrewsbury, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.