Individual provider Active NPI

Joshua William Trufant, M.D.

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1255655205
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD454971 Issued in PA
Practice address
833 Chestnut St
Suite 740
Philadelphia, PA 19107-4414
Phone
(215) 955-6680
Fax
(215) 503-2556
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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 MD454971 PA Primary

Addresses

Primary practice location

833 Chestnut St
Suite 740
Philadelphia, PA 19107-4414

Mailing address

833 Chestnut St
Suite 740
Philadelphia, PA 19107-4414
Phone (215) 955-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728003092 PA Practitioner - Dermatology 4284860750 Reassigns benefits to 1 organization
I20150728003498 DE Practitioner - Dermatology 4284860750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, shared by 2 NPIs, 1,528 clinicians

Practice addresses (Care Compare)

3521 Silverside Rd
Wilmington, DE 19810-4900
Phone (302) 477-1991

833 Chestnut St E
7TH FLR Suite 740
Philadelphia, PA 19107-5102
Phone (215) 955-6680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions23
Removal of skin cancer439
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Dermatology CurrentSince Aug 1, 2015 Accepting new patients
Jefferson University Physicians Dermatology CurrentSince Aug 1, 2015 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

3521 Silverside Rd
Ste 1L
Wilmington, DE 19810
Phone (302) 477-1991

833 Chestnut St
Ste 740
Philadelphia, PA 19107
Phone (215) 955-4947

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1255655205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 740",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-6680",
            "fax_number": "215-503-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 740",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-6680",
            "fax_number": "215-503-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUFANT",
        "first_name": "JOSHUA",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD454971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.