City Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD420353 Issued in PA

Legal business name

CITY DERMATOLOGY

Practice address

3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029

Phone

(267) 332-0321

Fax

(267) 332-0323

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Imran Amir, MDNPI 1891815247

Title

MD/Owner

Phone

(215) 305-8834

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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

• Imran Amir, MD

  • Dermatology Physician
  • Bensalem, PA
  • NPI 1891815247
  Medicare reassignment Care Compare group NPD Authorized official
• Bhavi Khant

  • Family Nurse Practitioner
  • Bensalem, PA
  • NPI 1619629748
  Medicare reassignment Care Compare group NPD
• Russell Phayre, FNP-BC

  • Nurse Practitioner
  • Bensalem, PA
  • NPI 1952101420
  Medicare reassignment Care Compare group NPD
• Barbara L. Vail, M.D

  • Dermatology Physician
  • Newtown, PA
  • NPI 1992722672
  Medicare reassignment Care Compare group NPD
• Julie M Cherubini, CRNP

  • Family Nurse Practitioner
  • Jenkintown, PA
  • NPI 1235765009
  Medicare reassignment NPD
• Daniel Dvorkin, MD

  • Dermatology Physician
  • Exton, PA
  • NPI 1417921636
  Medicare reassignment NPD
• John Ignatius Boss Jr., M.M.S., PA-C

  • Physician Assistant
  • Hershey, PA
  • NPI 1891150785
  Medicare reassignment
• Cassandra Cohen, PA-C

  • Medical Physician Assistant
  • Jenkintown, PA
  • NPI 1093198319
  Medicare reassignment
• Saleemah Flythe, PA-C

  • Medical Physician Assistant
  • Bensalem, PA
  • NPI 1366837957
  Medicare reassignment
• Kelcey Nicole Foster

  • Dermatology Physician
  • Bensalem, PA
  • NPI 1548100860
  NPD (past)
• Amber Bosch, NP-C

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1417639279
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1134483274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR",
            "address_2": "SUITE 120",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202029",
            "telephone_number": "267-332-0321",
            "fax_number": "267-332-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 TILLMAN DR",
            "address_2": "SUITE 120",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202029",
            "telephone_number": "267-332-0321",
            "fax_number": "267-332-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "215-305-8834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD420353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103088884-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Cheesman, RPH
• Beth Ann Chekemian, D.O.
• Christopher J. White LPC LLC
• Nicole M. Cicchino, DO
• City Ambulance, LLC
• Clarity Eye Care LLC
• Clear Foundation
• Andrew Clemens, D.P.T
• Nicole Marie Codagnone, LCSW
• Kathleen Coggshall, M.D.

• Dermatology Physician in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.