NPIMap

Organization Active NPI

Health Services of Fox Chase Cancer Center

Doing business as Dermatology Associates of FCCC

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1144338351
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HEALTH SERVICES OF FOX CHASE CANCER CENTER
Doing business as
Dermatology Associates of FCCC
Practice address
333 Cottman Avenue
Dermatology Assoc OT FCCC
Philadelphia, PA 19111
Phone
(215) 725-6900
Fax
(215) 214-1405
NPI assigned
Aug 28, 2006
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Robert Beck
Title
Senior Vice President
Phone
(215) 214-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

333 Cottman Avenue
Dermatology Assoc OT FCCC
Philadelphia, PA 19111

Mailing address

333 Cottman Avenue
Medical Staff Office
Philadelphia, PA 19111
Phone (215) 728-6900

Other identifiers 1

IdentifierTypeStateIssuer
0012467940067MedicaidPA

Other names 1

  • Dermatology Associates of FCCC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1144338351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVENUE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVENUE",
            "address_2": "DERMATOLOGY ASSOC OT FCCC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "215-725-6900",
            "fax_number": "215-214-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF FOX CHASE CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "215-214-1409"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012467940067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of FCCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2012; 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.