NPIMap

Organization Active NPI

Dermatology and Cosmetic Surgery Institute, PC

  • MOHS-Micrographic Surgery Physician
  • Fort Washington, PA
National Provider Identifier
1043485600
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD425249 Issued in PA
Legal business name
DERMATOLOGY AND COSMETIC SURGERY INSTITUTE, PC
Practice address
455 Pennsylvania Ave
Suite 127
Fort Washington, PA 19034-3403
Phone
(215) 793-9755
Fax
(215) 793-4974
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Aradhna Saxena, M.D.NPI 1598976938
Title
President
Phone
(215) 485-1142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X MD425249 PA Primary
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X MD425249 PA

Addresses

Primary practice location

455 Pennsylvania Ave
Suite 127
Fort Washington, PA 19034-3403

Mailing address

455 Pennsylvania Ave
Suite 127
Fort Washington, PA 19034-3403
Phone (215) 793-9755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000533 PA Part B Supplier - Clinic/Group Practice 2466519343 Receives reassigned benefits from 7 practitioners
Practice locations: Blue Bell, PA; Fort Washington, PA; Lansdale, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1240 S Broad St
Ste 200
Lansdale, PA 19446
Phone (215) 361-3376

8815 Germantown Ave
Ste 30
Philadelphia, PA 19118
Phone (215) 242-4680

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1043485600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "SUITE 127",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343403",
            "telephone_number": "215-793-9755",
            "fax_number": "215-793-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "SUITE 127",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343403",
            "telephone_number": "215-793-9755",
            "fax_number": "215-793-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND COSMETIC SURGERY INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "ARADHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-485-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD425249",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD425249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.