DR. MELINDA JEN (NPI# 1023200045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023200045 |
| Entity Type | Individual |
| Full Name | DR. MELINDA JEN |
| Credential | M.D |
| Practice Address |
3550 Market St Fl 2 Children's Hospital of Philadelphia - Dermatology Div Philadelphia PA 19104-3366 |
| Mailing Address |
100 E Penn Sq 9th Floor Philadelphia PA 19107-3323 |
| Practice Telephone | 2155909119 |
| Practice Fax Number | 2155904948 |
| Mailing Telephone | 2674259234 |
| Mailing Fax Number | 2674259299 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
MD442934 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3550 MARKET ST FL 2 CHILDREN'S HOSPITAL OF PHILADELPHIA - DERMATOLOGY DIV |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811947351 | James R Treat | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2006-05-12 |
| 1740742451 | The Childrens Hospital of Philadelphia | Clinic/Center | 3550 Market St Fl 2, Philadelphia, PA 19104-3366 | 2019-04-02 |
| 1457568404 | Marissa Jill Perman | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2007-05-17 |
| 1992865976 | Leslie A Castelo-soccio | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2006-12-11 |
| 1780690875 | Albert C Yan | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659851269 | Cathryn Sibbald | Dermatology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-08-14 |
| 1851652770 | Scarlett Boulos | Dermatology | 3401 Civic Center Blvd, Division of Pediatric Dermatology, Philadelphia, PA 19104-4319 | 2012-06-07 |
| 1619264660 | Jenna Streicher | Dermatology | 3401 Civic Center Blvd, Division of Dermatology, Philadelphia, PA 19104-4319 | 2011-06-28 |
| 1225359680 | Markus Daniel Boos | Dermatology | 3535 Market St, Division of Dermatology, 2nd Floor, Philadelphia, PA 19104 | 2010-06-18 |
| 1831359330 | Emily M Berger | Dermatology | 3550 Market St, 2nd Floor, Philadelphia, PA 19104-3329 | 2008-06-10 |
| 1457568404 | Marissa Jill Perman | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2007-05-17 |
| 1073608006 | Childrens Health Care Associates, Inc | Dermatology | 3401 Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548764723 | Peds Derm LLC | Dermatology | 830 Old Lancaster Rd Bldg North, Bryn Mawr, PA 19010-3118 | 2018-03-21 |
| 1760932099 | Childrens Community Pediatrics | Dermatology | 4055 Monroeville Blvd Bldg 1, Monroeville, PA 15146-2522 | 2016-10-11 |
| 1174909527 | Pediatric Dermatology Associates of Erie LLC | Dermatology | 3405 State St, Erie, PA 16508-2831 | 2015-08-08 |
| 1952718215 | Children's Community Pediatrics | Dermatology | 205 Millers Run Rd Fl 3, Bridgeville, PA 15017-1348 | 2014-07-18 |
| 1447224316 | Wendy L Ripple | Dermatology | 3416 State St, Erie, PA 16508 | 2006-02-15 |
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. MELINDA JEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.