IVY DEROSA (NPI# 1083935084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083935084 |
| Entity Type | Individual |
| Full Name | IVY DEROSA |
| Credential | D.O. |
| Practice Address |
104 Pheasant Run Suite 123 Newtown PA 18940-3439 |
| Mailing Address |
104 Pheasant Run Ste 123 Newtown PA 18940-3413 |
| Practice Telephone | 2157028600 |
| Mailing Telephone | 2157028600 |
| Mailing Fax Number | 2156333480 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | OS015851 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 209 Floral Vale Blvd, Yardley, PA 190675524 | 2158606100 | 8774377288 |
| Street Address |
104 PHEASANT RUN SUITE 123 |
| City | NEWTOWN |
| State | PA |
| Zip Code | 18940-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982605333 | Steven A Levy | Pediatrics | 104 Pheasant Run, Newtown, PA 18940-3439 | 2005-08-09 |
| 1609363357 | Myeyedr Optometry of Pennsylvania, LLC | Optometrist | 104 Pheasant Run, Newtown, PA 18940-3439 | 2018-04-18 |
| 1932557311 | Rinklefree, LLC | Clinic/Center | 104 Pheasant Run, Suite 123 Bldg A, Newtown, PA 18940-3439 | 2016-05-26 |
| 1225436389 | Katelyn Young | Nurse Practitioner | 104 Pheasant Run, Suite 116 B, Newtown, PA 18940-3439 | 2014-12-05 |
| 1548509185 | Langhorne Physician Services | Internal Medicine | 104 Pheasant Run, Suite 128, Newtown, PA 18940-3439 | 2013-02-01 |
| 1679899447 | Abroo N Muzaffar | Registered Nurse | 104 Pheasant Run, Suite 128, Newtown, PA 18940-3439 | 2010-04-19 |
| 1609108380 | Louise Joyce | Nurse Practitioner | 104 Pheasant Run, Suite 128, Newtown, PA 18940-3439 | 2010-02-05 |
| 1679701403 | Urszula Wierciszewska | Pediatrics | 104 Pheasant Run, Newtown, PA 18940-3439 | 2009-07-01 |
| 1548496292 | David M. Schwartz O.d.,p.c. | Optometrist | 104 Pheasant Run, Suite 114, Newtown, PA 18940-1821 | 2009-06-09 |
| 1649446006 | Alexander Joshua Koppel | Internal Medicine | 104 Pheasant Run, Suite 128, Newtown, PA 18940-3439 | 2008-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1124596275 | Deborah O'brien | Counselor | Robin Downs & Associates (second Floor), 2189 Second Street Pike, Newtown, PA 18940 | 2018-11-07 |
| 1841788635 | Elevation Homecare Agency LLC | In Home Supportive Care | 12 Penns Trl Ste 152, Newtown, PA 18940 | 2018-04-26 |
| 1811498876 | Rachel Anne Cohen | Social Worker | 8 Skyview Way, Newtown, PA 18940 | 2018-02-26 |
| 1609306224 | Kenneth Myers Jr. | Registered Nurse | 73 King Charles Lane, Newtown, PA 18940 | 2017-06-15 |
| 1245787514 | Kristine Kroll | Occupational Therapist | 94 Richboro Rd Bldg 2, Newtown, PA 18940 | 2016-09-05 |
| 1033569496 | Kristi M Mahan | Physician Assistant | 760 Newtown Yardley Rd Ste 115, Newtown, PA 18940 | 2016-06-16 |
| 1942671441 | Margiotti & Kroll Pediatrics, PC | Speech-Language Pathologist | 31 Cambridge Lane, Suite A, Newtown, PA 18940 | 2015-10-12 |
| 1679982128 | Kelly Corbitt | Social Worker | 17 Barclay Street, Building A, Newtown, NJ 18940 | 2014-08-08 |
| Find all providers in zip 18940 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053776 | Beth A Buscher | Dermatology | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2005-06-14 |
| 1831519289 | Caroline Lucille Larosa | Dermatology | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2014-04-24 |
| 1427306141 | Joel Brook | Dermatology | 139 Toddy Hill Road, Masonicare At Newtown, Newtown, CT 06470 | 2012-08-28 |
| 1225258643 | Kimberly May Eickhorst | Dermatology | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2007-04-26 |
| 1710983036 | Jeffrey D Knispel | Dermatology | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2005-06-22 |
| 1396740643 | Laurence A Sibrack | Dermatology | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2005-06-14 |
| 1740285097 | Alicia D Zalka | Dermatology | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
| 1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
| 1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
| 1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
| 1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
| 1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
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| 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.