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 is a Dermatology Physician 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
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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