Individual provider Active NPI

Karen Kulik Deasey, MD

  • Dermatology Physician
  • Bryn Mawr, PA
National Provider Identifier
1174634232
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
019667E Issued in PA
Practice address
875 County Line Rd
Bryn Mawr Medical BLDG South Suite 207
Bryn Mawr, PA 19010-3113
Phone
(610) 525-1920
Fax
(610) 525-8393
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 019667E PA Primary

Addresses

Primary practice location

875 County Line Rd
Bryn Mawr Medical BLDG South Suite 207
Bryn Mawr, PA 19010-3113

Mailing address

875 County Line Rd
Bryn Mawr Medical BLDG South Suite 207
Bryn Mawr, PA 19010-3113
Phone (610) 525-1920

Other names 1

  • Dr. Karen Kulik Lipinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000240 PA Practitioner - Dermatology 6507026481 Reassigns benefits to 1 organization
Practice locations: Bryn Mawr, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019667EPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karen K Deasey MD Dermatology CurrentSince Jan 15, 1988 Accepting new patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Nov 1, 2020 Accepting new patients

Locations

1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

945 E Haverford Rd
Ste 6
Bryn Mawr, PA 19010
Phone (610) 525-1920

875 County Line Rd
Ste 207
Bryn Mawr, PA 19010
Phone (215) 525-1920

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1174634232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 COUNTY LINE RD",
            "address_2": "BRYN MAWR MEDICAL BLDG SOUTH SUITE 207",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103113",
            "telephone_number": "610-525-1920",
            "fax_number": "610-525-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 COUNTY LINE RD",
            "address_2": "BRYN MAWR MEDICAL BLDG SOUTH SUITE 207",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103113",
            "telephone_number": "610-525-1920",
            "fax_number": "610-525-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASEY",
        "first_name": "KAREN",
        "middle_name": "KULIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "019667E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LIPINSKI",
            "middle_name": "KULIK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.