Stuart Robert Lessin, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD029219E Issued in PA

Practice address

919 Conestoga Rd
Building 2, Suite 106
Bryn Mawr, PA 19010-1352

Phone

(610) 525-5028

Fax

(610) 525-2494

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Health Services of Fox Chase Cancer Center

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1144338351
  NPD (past)
• Health Services of Fox Chase Cancer Center

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1568564821
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1144294497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 2, SUITE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-5028",
            "fax_number": "610-525-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 2, SUITE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-5028",
            "fax_number": "610-525-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSIN",
        "first_name": "STUART",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029219",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD029219E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016366280005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legion Therapeutic Group, LLC
• Pamela Dobbin Lehman, PH.D.
• Alexis Leone, CRNP
• Jody M. Lerner
• Bettina B. Lesser, MD
• Kate Levenberg, MD
• Eric A Levicoff, MD
• Courtney Nicole Levine, PSYD
• Lauren Levine, D.O.
• Matthew E Levison, MD

• Procedural Dermatology Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Procedural Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.