NORTHEAST DERMATOLOGY ASSOC PC (NPI# 1598840381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598840381 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DERMATOLOGY ASSOC PC |
| Practice Address |
9501 Roosevelt Blvd Suite 508 Philadelphia PA 19114 |
| Practice Telephone | 2154647400 |
| Practice Fax Number | 2154648680 |
| Mailing Telephone | 2154647400 |
| Mailing Fax Number | 2154648680 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARRY B ABRAHAM (PRESIDENT) |
| Authorized Official Telephone | 2154647400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
9501 ROOSEVELT BLVD SUITE 508 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19114 | ||||
| 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 | 19114 |
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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.