Active NPI
Alliance Dermatology Physicians, P.C.
- Dermatology Physician
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ALLIANCE DERMATOLOGY PHYSICIANS, P.C.
- Practice address
- 11 Friends LN Ste 115
Newtown, PA 18940-1885 - Phone
- (609) 799-1600
- Fax
- (609) 799-7617
- NPI assigned
- Jul 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lusia S Yi
- Title
- Partner/Owner
- Phone
- (609) 799-1600
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
11 Friends LN Ste 115
Newtown, PA 18940-1885
Mailing address
11 Friends LN Ste 115
Newtown, PA 18940-1885
Phone (609) 799-1600
Other practice location 1
3311 Brunswick Pike
Lawrenceville, NJ 08648-2411
Phone (609) 799-1600
Other practice location 2
29 Emmons Dr Ste F20
Princeton, NJ 08540-5978
Phone (609) 799-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Alliance Dermatology Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dermatology Physician
- Newtown, PA
- NPI 1750923579
Locations
3311 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 716-7030
29 Emmons Dr
Ste F20
Princeton, NJ 08540
Phone (609) 799-1600
11 Friends Ln
Ste 115
Newtown, PA 18940
Phone (609) 799-1600
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Newtown, PA
- NPI 1992722672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615852800000",
"number": "1093368185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FRIENDS LN STE 115",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401885",
"telephone_number": "609-799-1600",
"fax_number": "609-799-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FRIENDS LN STE 115",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401885",
"telephone_number": "609-799-1600",
"fax_number": "609-799-7617"
}
],
"practiceLocations": [
{
"address_1": "3311 Brunswick Pike",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "NJ",
"postal_code": "086482411",
"country_code": "US",
"telephone_number": "609-799-1600",
"fax_number": "609-799-7617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29 Emmons Dr Ste F20",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085405978",
"country_code": "US",
"telephone_number": "609-799-1600",
"fax_number": "267-358-5166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALLIANCE DERMATOLOGY PHYSICIANS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-18",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A",
"authorized_official_last_name": "YI",
"authorized_official_first_name": "LUSIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PARTNER/OWNER",
"authorized_official_telephone_number": "609-799-1600"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.