David Ciocon, MD
Dermatologist (Mohs/procedural) in Hackensack, NJ
Registered providerLicense # listed (NJ)Medicare-enrolled
Public-record details
- Address
- 20 Prospect Ave Ste 702, Hackensack, NJ 07601
- Phone
- (201) 441-9890
- Listed under
- Individual clinicians, Mohs and procedural dermatology
- NPI
- 1790878866
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology, MOHS-Micrographic Surgery (207ND0101X)
- Credentials listed
- MD
- License number on NPI record
- 25MA08549700 (NJ)
- NPI first issued
- Oct 2, 2006
- Years since NPI first issued
- 20 years (since 2006)
- License state on NPI record
- NJ
- NPI record last updated
- May 19, 2021
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- May accept Medicare assignment (case by case)
- Professional school graduation (CMS)
- 2002 (24 years ago)
- Professional school (CMS)
- Rutgers New Jersey Medical School
- Medicare group practice (CMS)
- Montefiore Medical Center (2,820 clinicians); The Medical Group of New Jersey (314 clinicians); Schweiger Dermatology PLLC (260 clinicians); +4 more
- Practice locations on file with Medicare (CMS)
- 7
- Other practice locations (NPPES)
- 1: Kinnelon, NJ
- Other dermatology listings at this street address
- 6
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