Organization Active NPI

Yardley Dermatology Associates, P.C.

  • Dermatology Physician
  • Yardley, PA
National Provider Identifier
1205120599
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
YARDLEY DERMATOLOGY ASSOCIATES, P.C.
Practice address
903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone
(215) 579-6155
Fax
(215) 860-0723
NPI assigned
Jun 3, 2011
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Michelle Sibona
Title
Practice Manager
Phone
(215) 579-6155

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X
Clinical & Laboratory Dermatological Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NI0002X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X

Addresses

Primary practice location

903 Floral Vale Blvd
Yardley, PA 19067-5515

Mailing address

903 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-6155

Other practice location 1

803 Floral Vale Blvd
Yardley, PA 19067-5513
Phone (215) 579-6155

Other practice location 2

908 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-6155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yardleydermatologyassociates@direct.hsxsepa.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000065 PA Part B Supplier - Clinic/Group Practice 6103003942 Receives reassigned benefits from 15 practitioners
Practice locations: Yardley, PA; Newtown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0887030Yardley Dermatology Associates, PC803 Floral Vale Boulevard, Yardley, PA 19067ComplianceJul 2, 2027
39D2277691Yardley Dermatology Associates, PC908 Floral Vale Blvd, Yardley, PA 19067Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Locations

801 Floral Vale Blvd
Yardley, PA 19067

803 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

805 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 968-4901

908 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 579-6155

Interoperability endpoints

  • Direct secure messaging: yardleydermatologyassociates@direct.hsxsepa.org

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1205120599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155",
            "fax_number": "215-860-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675515",
            "telephone_number": "215-579-6155",
            "fax_number": "215-860-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675513",
            "country_code": "US",
            "telephone_number": "215-579-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675515",
            "country_code": "US",
            "telephone_number": "215-579-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YARDLEY DERMATOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "SIBONA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "215-579-6155"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yardleydermatologyassociates@direct.hsxsepa.org",
            "affiliation": "N",
            "endpointDescription": "YDA direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "903 Floral Vale Blvd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190675515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.