Modern Dermatology and Cosmetic Center LLC
NPI 1376230581 · Dermatology Physician · Wall, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Dermatology and Cosmetic Center LLC is a Dermatology Physician organization in Wall, NJ (NPI 1376230581).
Provider details
- NPI number
- 1376230581
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Iris Hatziminas, Owner(908) 391-1694
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
- Certified
- 2023-04-18
Frequently asked questions
- What is Modern Dermatology and Cosmetic Center LLC's NPI number?
- Modern Dermatology and Cosmetic Center LLC's National Provider Identifier (NPI) is 1376230581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dermatology and Cosmetic Center LLC?
- Modern Dermatology and Cosmetic Center LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Dermatology and Cosmetic Center LLC located?
- Modern Dermatology and Cosmetic Center LLC's practice location on file with NPPES is 2510 Belmar Blvd, Wall, NJ 07719-3948.
- What is Modern Dermatology and Cosmetic Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dermatology and Cosmetic Center LLC is (908) 391-1694.
- Does Modern Dermatology and Cosmetic Center LLC accept Medicare?
- Modern Dermatology and Cosmetic Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Dermatology and Cosmetic Center LLC?
- The authorized official listed on Modern Dermatology and Cosmetic Center LLC's NPPES record is Iris Hatziminas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dermatology and Cosmetic Center LLC's NPI active?
- Yes — Modern Dermatology and Cosmetic Center LLC's NPI (1376230581) is active in the NPPES registry as of the last update on 2023-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.