CLIFFORD SCOTT PERLIS (NPI# 1548251481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548251481 |
| Entity Type | Individual |
| Full Name | CLIFFORD SCOTT PERLIS |
| Credential | M.D. |
| Practice Address |
333 Cottman Avenue Fox Chase Cancer Center Philadelphia PA 19111 |
| Mailing Address |
333 Cottman Avenue Medical Staff Office Philadelphia PA 19111 |
| Practice Telephone | 2157286900 |
| Practice Fax Number | 2152143992 |
| Mailing Telephone | 2157286900 |
| Mailing Fax Number | 2152143992 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2015-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 223904 | MA | Other Service Providers |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD428937 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1017025750001 | 05 |
| Street Address |
333 COTTMAN AVENUE FOX CHASE CANCER CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1417128844 | Kristen Mary Kreamer | Registered Nurse | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111-2497 | 2008-03-13 |
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| 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 | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730373432 | Anne Marie C. Angeles M.d. P.C. | Dermatology | 1440 Mckean St, Philadelphia, PA 19145-2308 | 2007-09-05 |
| 1417081803 | Louis Alfred Brown Jr. | Dermatology | 6326 Rising Sun Ave, Philadelphia, PA 19111-5630 | 2007-03-15 |
| 1598176554 | Philadelphia Center for Dermatology, PC | Dermatology | 8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081 | 2014-05-13 |
| 1598027906 | Cerrene Nicole Giordano | Dermatology | 800 Spruce St, Fl 10, Philadelphia, PA 19107 | 2012-06-12 |
| 1518028737 | Anne Marie Angeles | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2006-12-12 |
| 1942395207 | Steven S Greenbaum | Dermatology | 1528 Walnut St, Suite 1101 Dermatologic Surgical Assoc, Philadelphia, PA 19102 | 2006-10-04 |
| 1922055250 | Barbara M Mathes | Dermatology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2006-05-30 |
| 1043205768 | Douglas Kligman | Dermatology | 8815 Germantown Ave, Suite 30, Philadelphia, PA 19118-2722 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901025 | Bucks County Dermaesthetics | Dermatology | 1 Summit Square Ctr, Langhorne, PA 19047-1091 | 2020-01-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1124483623 | Forefront Dermatology, S.c. | Dermatology | 4731 Route 30, Suite 402, Greensburg, PA 15601 | 2015-12-28 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| 1821329004 | Stephen G Wiener | Dermatology | 44 Meadow Glen Ln, Reading, PA 19607-9427 | 2010-01-27 |
| 1174674899 | Judith I Arluk | Dermatology | 1987 Centurion Dr, Suite 001, Forest Hills, Pittsburgh, PA 15221 | 2007-01-16 |
| 1679650006 | Proctor and Proctor PC | Dermatology | 1227 Westside Ave, Honesdale, PA 18431-1715 | 2006-11-01 |
| 1154427623 | Shelley Sue Schuler | Dermatology | 21 Industrial Blvd Ste 101, Paoli, PA 19301-1610 | 2006-09-15 |
| 1689687048 | Merle Bari | Dermatology | 944 Merion Square Rd, Gladwyne, PA 19035-1510 | 2006-08-15 |
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| 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.