Individual provider Active NPI

Shelley Sue Schuler, M.D.

  • Procedural Dermatology Physician
  • Paoli, PA
National Provider Identifier
1154427623
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MD022423E Issued in PA
Practice address
21 Industrial Blvd Ste 101
Paoli, PA 19301-1610
Phone
(610) 647-4161
Fax
(610) 647-5397
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X MD022423E PA Primary

Addresses

Primary practice location

21 Industrial Blvd Ste 101
Paoli, PA 19301-1610

Mailing address

21 Industrial Blvd Ste 101
Paoli, PA 19301-1610
Phone (610) 647-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Benedetto Dermatology, LLC Current Accepting new patients
Benedetto Dermatology,LLC Past Accepting new patients
Aesthetic Dermatology Associates, PC PastSince Nov 26, 2023 Accepting new patients

Locations

2221 Garrett Rd
Drexel Hill, PA 19026
Phone (610) 623-5885

1200 Locust St
Philadelphia, PA 19107
Phone (215) 546-3666

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1154427623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-647-4161",
            "fax_number": "610-647-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 INDUSTRIAL BLVD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011610",
            "telephone_number": "610-647-4161",
            "fax_number": "610-647-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULER",
        "first_name": "SHELLEY",
        "middle_name": "SUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD022423E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.