Active NPI
Jason Harold Neustadter, M.D.
- Dermatology Physician
- Philadelphia, PA
National Provider Identifier
1063632461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD444990
- Practice address
- 1528 Walnut St
Suite 1101
Philadelphia, PA 19102-3604 - Phone
- (215) 735-4994
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD444990 | PA | Primary |
Addresses
Primary practice location
1528 Walnut St
Suite 1101
Philadelphia, PA 19102-3604
Mailing address
1528 Walnut St Ste 1101
Philadelphia, PA 19102-3621
Phone (215) 735-4994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (610) 525-5250
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 897 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringpfeil Advanced Dermatology PC | Dermatology | Current | Accepting new patients |
Locations
569 W Lancaster Ave
Haverford, PA 19041
Phone (610) 525-5250
339 E Lancaster Ave
Wynnewood, PA 19096
Phone (610) 649-1391
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDCAA
- https://fhir4.healow.com/fhir/r4/CCDCAA/Endpoint/CCDCAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1063632461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 WALNUT ST STE 1101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023621",
"telephone_number": "215-735-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 WALNUT ST",
"address_2": "SUITE 1101",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191023604",
"telephone_number": "215-735-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUSTADTER",
"first_name": "JASON",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD444990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.