Provider profile · NPI 1225362783
Advanced Dermatology Of New Jersey Pc
Dermatology, Procedural Dermatology · Ridgewood, NJ · NPI 1225362783 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Dermatology, Procedural Dermatology
Enumerated
Sep 30, 2009
License(s)
25MA04771900 (NJ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6 LOWELL AVE | New Hyde Park, NY 11040-2810 | 516-326-4160 |
| LOCATION | 1200 E RIDGEWOOD AVE | Ridgewood, NJ 07450-3957 | 201-493-1717 |
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