Conrad Joseph Benedetto Jr., D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

OS019881 Issued in PA

Practice address

2221 Garrett Rd
Drexel Hill, PA 19026-1101

Phone

(610) 623-5885

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

Yes

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.

• NJ Certified Dermatology PC

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241

  PA

  Medicare reassignment Care Compare group NPD
• Pennsylvania Centre for Dermatology, LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1861501801

  PA

  Medicare reassignment Care Compare group NPD
• Burke Dermatology, PA

  • Dermatology Physician
  • Newark, DE
  • NPI 1871646919

  DE

  Medicare reassignment Care Compare group NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807

  Mohs-Micrographic Surgery, NJ

  Medicare reassignment Care Compare group NPD
• Schweiger Dermatology, PC

  • Dermatology Physician
  • Elmer, NJ
  • NPI 1104229392

  Mohs-Micrographic Surgery, NJ

  Medicare reassignment Care Compare group NPD
• Benedetto Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • Philadelphia, PA
  • NPI 1972771129

  Mohs-Micrographic Surgery, PA

  Medicare reassignment NPD
• Benedetto Dermatology,LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1811938863
  NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Bayonne, NJ
  • NPI 1487169702
  NPD
• Advanced Ears Nose and Throat LLC

  • Otolaryngology Physician
  • Newark, DE
  • NPI 1154445559
  NPD (past)
• Southern Delaware Pain Management LLC

  • Physical Medicine & Rehabilitation Physician
  • Dover, DE
  • NPI 1831494707
  NPD (past)

Specialty

Dermatology

Education

Philadelphia College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Certified Dermatology PC 38 clinicians

Pennsylvania Centre for Dermatology, LLC 40 clinicians

Burke Dermatology PA 11 clinicians

Schweiger Dermatology PC 180 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.55 of 100Reported as group

Quality

85.31

Improvement activities

40

Cost

71.4

Merit-based Incentive Payment System (MIPS)

Final score

94.26 of 100Reported as group

Quality

93.24

Improvement activities

40

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in PA, DE, NJ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: conradb@burke.emadirect.md
• Direct secure messaging: cbenedetto@cdnj.emadirect.md

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2021.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1154718849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261101",
            "telephone_number": "610-623-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261101",
            "telephone_number": "610-623-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTO",
        "first_name": "CONRAD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "OS019881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Safe Transport
• Edward H Bedrossian Jr., MD
• Bee Infinite LLC
• Behavior Buddy LLC
• Belfield Medical Associates
• Beres Enterprises
• Beyond Basic Care Home Care Agency, LLC
• Haimavathi Bhat, D.O., M.P.H.
• Erica Michele Bielarski, PA-C
• Danielle Bills

• All providers in Drexel Hill, PA
• MOHS-Micrographic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.