VANESSA AYUMI LONDON


Address: 9501 Roosevelt Blvd, Suite 508, Philadelphia, PA 19114-1025
Phone: 2154647400

VANESSA AYUMI LONDON (NPI# 1023288495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023288495
Entity Type Individual
Full Name VANESSA AYUMI LONDON
Credential MD, MS
Practice Address 9501 Roosevelt Blvd
Suite 508
Philadelphia
PA 19114-1025
Practice Telephone 2154647400
Practice Fax Number 2154648680
Mailing Telephone 2154647400
Mailing Fax Number 2154648680
Enumeration Date 2008-03-02
Last Update Date 2010-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD439500 PA Allopathic & Osteopathic Physicians
N 207N00000X Dermatology A101617 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 9501 ROOSEVELT BLVD
SUITE 508
City PHILADELPHIA
State PA
Zip Code 19114-1025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962405936 Anthony Brandimarto Internal Medicine 9501 Roosevelt Blvd, Ste 501, Philadelphia, PA 19114-1030 2005-05-24
1508403569 Galyna Vorokhib Nurse Practitioner 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 2019-12-09
1003301920 Johanna Marie Farinella Nurse Practitioner 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 2018-06-22
1487190096 Allen Shapiro Dentist 9501 Roosevelt Blvd, Ste 409, Philadelphia, PA 19114-1025 2017-01-07
1124560081 Aria Health Physician Services Internal Medicine 9501 Roosevelt Blvd, Suite 400, Philadelphia, PA 19114-1025 2016-11-09
1285187260 Marianna Diloyan Registered Nurse 9501 Roosevelt Blvd, Suite 206, Philadelphia, PA 19114-1025 2016-07-26
1487009312 Dr. Allen P. Shapiro Dds.ltd Clinic/Center 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 2016-04-28
1568880334 Barry B Abraham Md LLC Dermatology 9501 Roosevelt Blvd, Suite 506, Philadelphia, PA 19114-1030 2014-03-31
1023388196 Oasis Oral Surgery LLC Dentist 9501 Roosevelt Blvd, Suite 101, Philadelphia, PA 19114-1025 2012-01-06
1891928214 Brian Shapiro Dentist 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 2009-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029906 Phuoc Nguyen Nurse Anesthetist, Certified Registered Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 2020-10-05
1053921932 Priyanka Patel Dentist Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 2020-08-05
1215419080 Thomas Patrick Gallagher Specialist/Technologist 2708 Ruth Way, Philadelphia, PA 19114 2018-08-29
1558840223 Alexis Wenger Early Intervention Provider Agency 3810 Aubrey Ave, Phila, PA 19114 2018-08-13
1245759232 Newlands Health Clinic/Center 9625 Frankford Ave., Philadelphia, PA 19114 2017-09-12
1619491453 Nazareth Physician Services Inc Social Worker 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 2017-08-02
1326561606 L.s. Share & Love Support Coordinating Agency, LLC Case Management 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 2017-07-19
1760911952 Charles C Richards II Counselor 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 2017-06-09
1801338686 April Neuls Physical Therapy Assistant 4213 Lackland Place, Philadelphia, PA 19114 2016-11-10
1114317583 Siji Cyriac Physical Therapist 9501 State Road, Philadelphia, PA 19114 2015-01-23
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932740461 Mark Abdelmalek, Md LLC Dermatology 200 N 16th St Ste D, Philadelphia, PA 19102-1225 2019-10-07
1083061048 Brandon Rowe Dermatology 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 2016-05-19
1942647078 Jason Marc Schoenfeld Dermatology 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 2013-05-30
1588890669 Philippe Lafaille Dermatology 1200 Locust Street, Philadelphia, PA 19107 2009-06-03
1194950683 Jisun Cha Dermatology 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 2009-05-27
1962546952 Susan C. Taylor Dermatology 932 Pine St, Philadelphia, PA 19107-6128 2007-02-16
1194833590 Harold Farber Dermatology 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 2006-08-26
1770599839 Seana Patrice Covello Dermatology 621 Pine St, Philadelphia, PA 19106-4108 2006-07-31
1528080512 Kenneth E Wasserman Md PC Dermatology 1817 South Broad St, Philadelphia, PA 19148-2115 2006-07-25
1811947351 James R Treat Dermatology 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 2006-05-12
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Competitor

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City PHILADELPHIA
Zip Code 19114

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Dataset Information

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.

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