Northeast Dermatology and Cosmetic Surgery Center
NPI 1609882836 · Dermatology Physician · Gahanna, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Dermatology and Cosmetic Surgery Center is a Dermatology Physician organization in Gahanna, OH (NPI 1609882836).
Provider details
- NPI number
- 1609882836
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Herron, Medical Director(614) 473-9519
- License
- 35078963 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-31
- Last updated
- 2007-11-29
Frequently asked questions
- What is Northeast Dermatology and Cosmetic Surgery Center's NPI number?
- Northeast Dermatology and Cosmetic Surgery Center's National Provider Identifier (NPI) is 1609882836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Dermatology and Cosmetic Surgery Center?
- Northeast Dermatology and Cosmetic Surgery Center is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Dermatology and Cosmetic Surgery Center located?
- Northeast Dermatology and Cosmetic Surgery Center's practice location on file with NPPES is 925 North Hamilton Road, Gahanna, OH 43230-4566.
- What is Northeast Dermatology and Cosmetic Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Northeast Dermatology and Cosmetic Surgery Center is (614) 473-9519.
- Does Northeast Dermatology and Cosmetic Surgery Center accept Medicare?
- Northeast Dermatology and Cosmetic Surgery Center 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 Northeast Dermatology and Cosmetic Surgery Center?
- The authorized official listed on Northeast Dermatology and Cosmetic Surgery Center's NPPES record is Joel Herron, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Dermatology and Cosmetic Surgery Center's NPI active?
- Yes — Northeast Dermatology and Cosmetic Surgery Center's NPI (1609882836) is active in the NPPES registry as of the last update on 2007-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.