Ashley B Decker Jensen

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

25MA09841800 Issued in NJ

Practice address

10000 Sagemore Dr Ste 10103
Marlton, NJ 08053-3944

Phone

(856) 596-3040

Fax

(856) 735-6497

NPI assigned

Apr 25, 2012

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Decker Former name

Medicare fee-for-service enrollment

Enrolled in NJ, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Boston University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Marin Dermatology IncGroup PAC ID 2668614447, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.83 of 100Reported as group

Quality

88.78

Promoting interoperability

99

Improvement activities

40

Cost

74.17

Merit-based Incentive Payment System (MIPS)

Final score

90.43 of 100Reported as group

Quality

80.85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Marin Dermatology, Inc.

  • Dermatology Physician
  • Sausalito, CA
  • NPI 1487090924
  Medicare reassignment Care Compare group NPD
• CMC Department of Medicine Group PA

  • Cardiovascular Disease Physician
  • Camden, NJ
  • NPI 1609908094
  Medicare reassignment
• CMC Department of Medicine

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1104945005
  NPD
• CMC Department of Medicine Group PA

  • Specialist
  • Camden, NJ
  • NPI 1386682094
  NPD
• CMC Department of Medicine

  • Dermatology Physician
  • Marlton, NJ
  • NPI 1346465952
  NPD (past)

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1972861102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924",
            "fax_number": "856-356-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SAGEMORE DR STE 10103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533944",
            "telephone_number": "856-596-3040",
            "fax_number": "856-735-6497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Marinship Way Ste 370",
            "address_purpose": "LOCATION",
            "city": "Sausalito",
            "state": "CA",
            "postal_code": "949652853",
            "country_code": "US",
            "telephone_number": "415-887-2853",
            "fax_number": "415-887-9763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER JENSEN",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA09841800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DECKER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Marie Dean, LCSW
• Liza Leluja Deannuntis, M.D.
• Diane Barbara Deblase, APN
• Anastasia Debough, LCSW
• Rosemary A Decicco, PA-C
• Edmund J. Decker, D.O.
• Stephanie Dejesus, RN, APN, AGACNP-BC
• Linda Delany-Glassman, LCSW
• Bruce Delarso, CRNA
• Delaware Valley Gastroenterology Associates MD PA

• Procedural Dermatology Physician in Marlton, NJ
• Providers in Marlton, 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 Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.