Delaware Valley Aesthetics, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OS012060 Issued in PA

Legal business name

DELAWARE VALLEY AESTHETICS, LLC

Practice address

19 Montgomery Ave
Bala Cynwyd, PA 19004-2601

Phone

(610) 667-6441

Fax

(610) 664-3182

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Lynn Rumer, D.O.

Title

President

Phone

(610) 667-6441

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Sherman Nelson Leis, DO

  • Plastic Surgery Physician
  • Bala Cynwyd, PA
  • NPI 1538250923
  NPD (past)
• Jude Opoku-Agyeman, D.O.

  • Plastic Surgery Physician
  • Bala Cynwyd, PA
  • NPI 1619225091
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1124350541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042601",
            "telephone_number": "610-667-6441",
            "fax_number": "610-664-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042601",
            "telephone_number": "610-667-6441",
            "fax_number": "610-664-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "RUMER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-667-6441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "OS012060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020333620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Lipshutz MSS, LSW, PC (Debbie Lipshutz LCSW)
• Celeste Frances Debease, PH.D.
• Mark Alan Debevoise
• Debra Rasansky, RPT
• Debra Rasansky, RPT (Rasansky Physical Therapy)
• Delaware Valley Medical Management (Delaware Valley Orthopedic and Spine Surgicenter)
• Lindsey Ann Delcarlino
• Kevin Deley
• Chris Gus Dematatis, CHRIS DEMATATIS
• Christopher Deussing, L.C.S.W.

• Medical Specialty Clinic/Center in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.