Center for Dermatology and Skin Surgery LLC
NPI 1194051243ActiveOrganization· Dermatology· Paramus, NJ
Dermatology in Paramus, New Jersey, registered in NPPES in October 2009. The authorized official on file is Michael Wiederkehr, Medical Doctor/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194051243 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2009 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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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