ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC (NPI# 1740671767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740671767 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC |
| Practice Address |
525 Jamestown St Suite 206 Philadelphia PA 19128-1751 |
| Mailing Address |
151 Southhall Ln Suite 300 Maitland FL 32751-7176 |
| Practice Telephone | 2154827546 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4076503455 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | AMY DECLUE (DIRECTOR OF PROVIDER SERVICES) |
| Authorized Official Telephone | 4078752080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Horsham Rd Ste 201, North Wales, PA 194541500 | 2153622385 | 2153611584 |
| 10159 Verree Rd, Philadelphia, PA 191163613 | 2156771155 | 2156775424 |
| 107 Gamma Dr Ste 120, Pittsburgh, PA 152382917 | 4127822302 | 4127826381 |
| 1220 Lincoln Way Ste 101, White Oak, PA 151311642 | 4126788806 | 4126783780 |
| 1811 Bethlehem Pike Ste 101, Flourtown, PA 190311111 | 2152547070 | 2152547079 |
| 2705 Dekalb Pike Ste 308, Norristown, PA 194011852 | 6102727546 | 6102721064 |
| 500 N Lewis Run Rd Ste 217, West Mifflin, PA 151223070 | 4124663215 | 4124663218 |
| 501 Office Center Dr Ste 190-195, Fort Washington, PA 190343220 | 2158367900 | 2158367923 |
| 631 Airport Rd Ste 100, Hazle Township, PA 182023379 | 5704547546 | 5704557547 |
| 701 5th St, Beaver, PA 150091964 | 7247745255 | 7247745686 |
| Street Address |
525 JAMESTOWN ST SUITE 206 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745394 | Bruce Bart Garber | Urology | 525 Jamestown St, Suite 108, Philadelphia, PA 19128-1751 | 2005-08-01 |
| 1558878546 | Sonja Lynn Julian | Physician Assistant | 525 Jamestown St, Philadelphia, PA 19128-1751 | 2017-12-29 |
| 1205246287 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 525 Jamestown St, Suite 105, Philadelphia, PA 19128-1751 | 2014-04-30 |
| 1316098635 | Temple Physicians Inc. | Family Medicine | 525 Jamestown St, Suite 201, Philadelphia, PA 19128-1751 | 2007-01-15 |
| 1154491629 | Bloom Eye Associates, Ltd. | Ophthalmology | 525 Jamestown St, Suite 207, Philadelphia, PA 19128-1751 | 2006-11-09 |
| 1780766436 | Lawrence Bloom | Ophthalmology | 525 Jamestown St, Ste. 207, Philadelphia, PA 19128-1751 | 2006-10-20 |
| 1588686968 | Amy Barbara Smith | Physician Assistant | 525 Jamestown St, Suite 206, Philadelphia, PA 19128-1751 | 2006-07-24 |
| 1801826177 | Philadelphia Gastroenterology Group, P.C. | Internal Medicine | 525 Jamestown St, Suite 101, Philadelphia, PA 19128-1751 | 2006-07-03 |
| 1013946995 | Harold J. Milstein, M.d., P.C. | Dermatology | 525 Jamestown St, Suite 206, Philadelphia, PA 19128-1751 | 2006-07-02 |
| 1528027554 | Suzanne Jennifer Pesce | Ophthalmology | 525 Jamestown St, Suite 207, Philadelphia, PA 19128-1751 | 2006-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| 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 | 19128 |
Please comment or provide details below to improve the information on ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC.
| 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.