Advanced Dermatology & Skin Surgery, PC
NPI 1023044724ActiveOrganization· Dermatology· Lakewood, NJ
Dermatology in Lakewood, New Jersey, registered in NPPES in June 2006. The authorized official on file is Mordechai M. Tarlow, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023044724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2006 |
| Last updated in NPPES | Jun 25, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 25MA07911600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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