NPI
Modern Dermatology and Cosmetic Center LLC
NPI 1376230581
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2023-04-18
- Last updated
- 2023-04-18
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 2510 Belmar Blvd
- City
- Wall NJ
- Postal code
- 07719-3948
- Phone
- (908) 391-1694
Organization contact
- Name
- Iris Hatziminas
- Title
- Owner
- Phone
- (908) 391-1694
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Wall, NJ. 135 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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