Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology & Skin Surgery, PC

Organization Dermatology Physician · NPI 1023044724

Advanced Dermatology & Skin Surgery, PC provides Dermatology Physician services in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

886 River Ave
Lakewood, NJ 08701-5220 Not confirmed with CMS for 13 years — call before visiting
Phone: (732) 905-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 25MA07911600 (NJ)

Record details

NPI number1023044724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mordechai Tarlow — President · (732) 905-9200
NPI enumeratedJune 24, 2006
Last updated in NPPESJune 25, 2013
Mailing address886 River Ave, Lakewood, NJ 08701-5220

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