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

Modern Dermatology and Cosmetic Center LLC

Organization Dermatology Physician · NPI 1376230581

Modern Dermatology and Cosmetic Center LLC is a Dermatology Physician in Wall, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2510 Belmar Blvd
Wall, NJ 07719-3948
Phone: (908) 391-1694
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1376230581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Hatziminas — Owner · (908) 391-1694
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address2510 Belmar Blvd, Wall, NJ 07719-3948

Other providers in Wall