HEALTH SERVICES OF FOX CHASE CANCER CENTER (NPI# 1144338351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144338351 |
| Entity Type | Organization |
| Organization Name | HEALTH SERVICES OF FOX CHASE CANCER CENTER |
| Other Organization Name | DERMATOLOGY ASSOCIATES OF FCCC |
| Practice Address |
333 Cottman Avenue Dermatology Assoc Ot Fccc Philadelphia PA 19111 |
| Mailing Address |
333 Cottman Avenue Medical Staff Office Philadelphia PA 19111 |
| Practice Telephone | 2157256900 |
| Practice Fax Number | 2152141405 |
| Mailing Telephone | 2157286900 |
| Mailing Fax Number | 2152141023 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | ROBERT BECK (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2152141409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012467940067 | 05 |
| Other Name | Type Code |
|---|---|
| Dermatology Associates of FCCC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982839874 | Health Services of Fox Chase Cancer Center | Special Hospital | 2365 Heritage Center Dr, Furlong, PA 18925-1280 | 2009-05-20 |
| 1023397262 | Health Services of Fox Chase Cancer Center | Internal Medicine | 333 Cottman Ave, Dru - West Bldg Clinical Research Unit, Philadelphia, PA 19111-2434 | 2011-08-05 |
| 1982852786 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Psychiatry Associates of Fccc, Philadelphia, PA 19111 | 2008-09-04 |
| 1689704298 | Health Services of Fox Chase Cancer Center | Anesthesiology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2007-03-06 |
| 1043349269 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Infectious Disease Assoc of Fccc, Philadelphia, PA 19111 | 2007-03-05 |
| 1568564821 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Gynecological Oncology Assoc of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1477655736 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Pulmonary Assocociates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1821190182 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Urology Associates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1417059882 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Avenue, Philadelphia, PA 19111 | 2006-09-05 |
| 1871695254 | Health Services of Fox Chase Cancer Center | Special Hospital | 333 Cottman Ave, Medical Staff Office, Philadelphia, PA 19111-2434 | 2006-09-05 |
| Street Address |
333 COTTMAN AVENUE DERMATOLOGY ASSOC OT FCCC |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251481 | Clifford Scott Perlis | Specialist | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2005-10-31 |
| 1568711505 | Lynn Chang | Radiology | 333 Cottman Avenue, Philadelphia, PA 19111 | 2012-09-06 |
| 1407158504 | Matthew John Faber | Physician Assistant | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-11-22 |
| 1194034413 | Tiffany Y Tam | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-10-04 |
| 1801102298 | Kathleen Murphy | Nurse Practitioner | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-08-24 |
| 1548585284 | Sanjay Reddy | Surgery | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-04-06 |
| 1881921724 | Margaret Lord Crivello | Surgery | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2009-11-13 |
| 1811140171 | Joshua E. Meyer | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2008-10-30 |
| 1023268141 | Theresa A. Brown | Registered Nurse | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111-2497 | 2008-09-25 |
| 1184884090 | Marijo Bilusic | Internal Medicine | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.