Dermatology Associates of Greensburg PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF GREENSBURG PC

Practice address

912 S Main St
Greensburg, PA 15601-4141

Phone

(724) 832-1800

Fax

(724) 832-1742

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Stuart A Glasser, MDNPI 1821042862

Title

Business Owner

Phone

(724) 832-1800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart A Glasser, MD

  • Procedural Dermatology Physician
  • Greensburg, PA
  • NPI 1821042862
  Medicare reassignment NPD Authorized official
• Marie Pirillo, PA-C

  • Medical Physician Assistant
  • Greensburg, PA
  • NPI 1073593141
  NPD

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1306310198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S MAIN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014141",
            "telephone_number": "724-832-1800",
            "fax_number": "724-832-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S MAIN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014141",
            "telephone_number": "724-832-1800",
            "fax_number": "724-832-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF GREENSBURG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "724-832-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of Pennsylvania, P.C.
• Dental Professionals of Pennsylvania, PC
• Jake Anthony Depietro, LAPC
• Carrie Hartman Derdich, MOT, OTR/L
• Zoie Derkas, ATR-P, LAPC
• Linda Susan Desantis, PA-C
• Mark Desantis, PA-C
• Pamela Sue Desantis, MOTRL
• Kristen J Desarro, SLP
• Aniellio N/a Destefano, BA

• Dermatology Physician in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.