Cosmetic and Dermatologic Surgery Associates LLC
NPI 1427355825ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Holmdel, NJ
Dermatology, MOHS-Micrographic Surgery in Holmdel, New Jersey, registered in NPPES in February 2011. The authorized official on file is Manoj Thakker, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427355825 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2011 |
| Last updated in NPPES | Feb 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | 25MA08829200 | NJ |
| Ophthalmology | 207W00000X | 25MA08673200 | NJ |
| Plastic Surgery, Plastic Surgery Within the Head and Neck | 2082S0099X | 25MA08673200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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