CENTER FOR DERMATOLOGY, LASER AND COSMETIC SURGERY LLC (NPI# 1942340542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942340542 |
| Entity Type | Organization |
| Organization Name | CENTER FOR DERMATOLOGY, LASER AND COSMETIC SURGERY LLC |
| Practice Address |
9892 Bustleton Ave Suite 204 Philadelphia PA 19115-2184 |
| Mailing Address |
822 Montgomery Ave Suite 100 Narberth PA 19072-1937 |
| Practice Telephone | 2156762464 |
| Practice Fax Number | 2156765536 |
| Mailing Telephone | 6106644433 |
| Mailing Fax Number | 6106645290 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-02-11 |
| Authorized Official Name | HAROLD FARBER (OWNER) |
| Authorized Official Telephone | 2156762464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD032429E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PTAN | 095922 | 01 |
| PA | BLUE SHIELD | CE1764878 | 01 |
| PA | 101436700001 | 05 | |
| PA | INDEPENDENCE BLUE CROSS | 2430802000 | 01 |
| Street Address |
9892 BUSTLETON AVE SUITE 204 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584807 | Ellen N Zagrebelsky | Internal Medicine | 9892 Bustleton Ave, Suite 102, Philadelphia, PA 19115-2184 | 2006-05-16 |
| 1871922534 | Sergei Chekov Md PC | Internal Medicine | 9892 Bustleton Ave, Suite 103, Philadelphia, PA 19115-2184 | 2013-11-04 |
| 1912243411 | Rapha Home Healthcare Inc | Home Health | 9892 Bustleton Ave, Suite 308, Philadelphia, PA 19115-2184 | 2013-01-02 |
| 1255651782 | Savita Singh,md,pc | Internal Medicine | 9892 Bustleton Ave, Suite 301, Philadelphia, PA 19115-2184 | 2010-06-07 |
| 1336376185 | Everest Dental LLC | Dentist | 9892 Bustleton Ave, Suite 302, Philadelphia, PA 19115-2184 | 2009-06-19 |
| 1013190768 | Independent Home Care Inc | Home Health | 9892 Bustleton Ave, Suite 203, Philadelphia, PA 19115-2184 | 2007-12-17 |
| 1104014042 | Aria Health Physician Services | Surgery | 9892 Bustleton Ave, Moss Plaza - Suite 206, Philadelphia, PA 19115-2184 | 2007-10-04 |
| 1447461371 | Harry Randel, D.m.d., P.C. | Dentist | 9892 Bustleton Ave, Suite 304, Philadelphia, PA 19115-2184 | 2007-05-24 |
| 1174739940 | Northeast Family Foot Care, PC | Podiatrist | 9892 Bustleton Ave, Suite 303, Philadelphia, PA 19115-2184 | 2007-05-16 |
| 1518017805 | Irina S Stern | Psychologist | 9892 Bustleton Ave, Suite # 306, Philadelphia, PA 19115-2184 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| 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 | 19115 |
Please comment or provide details below to improve the information on CENTER FOR DERMATOLOGY, LASER AND COSMETIC SURGERY LLC.
| 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.