Individual provider Active NPI

Herbert B Allen, M.D.

  • Dermatopathology Physician
  • Philadelphia, PA
National Provider Identifier
1326006750
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
25MA02930300 Issued in NJ
Practice address
219 N Broad St
4TH FL
Philadelphia, PA 19107-1519
Phone
(215) 762-5550
Fax
(215) 762-5570
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X 25MA02930300 NJ Primary

Addresses

Primary practice location

219 N Broad St
4TH FL
Philadelphia, PA 19107-1519

Mailing address

112 White Horse Pike
Haddon HGTS, NJ 08035-1908
Phone (856) 546-5353

Other identifiers 1

IdentifierTypeStateIssuer
001910299MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140818002336 NJ Practitioner - Dermatology 5395919385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of South Jersey, L.L.C.Group PAC ID 7113016858, 6 clinicians

Practice addresses (Care Compare)

150 Century Pkwy
Suite 105
Mount Laurel, NJ 08054-1129
Phone (856) 206-0201

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions132
Removal or shaving of skin growth56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02930300NJMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Consultants, LLC Single Specialty CurrentSince Dec 1, 2016 Accepting new patients
Dermatology Associates of South Jersey, L.L.C. Single Specialty CurrentSince Jan 1, 2021 Accepting new patients

Locations

104 White Horse Pike
Haddon Hgts, NJ 08035
Phone (610) 202-5660

112 White Horse Pike
#30
Haddon Hgts, NJ 08035
Phone (856) 546-5353

112 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-5353

150 Century Pkwy
Ste 105
Mount Laurel, NJ 08054
Phone (856) 206-0201

Interoperability endpoints

  • Direct secure messaging: hallen@dasj.emadirect.md

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1326006750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WHITE HORSE PIKE",
            "city": "HADDON HGTS",
            "state": "NJ",
            "postal_code": "080351908",
            "telephone_number": "856-546-5353",
            "fax_number": "856-546-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BROAD ST",
            "address_2": "4TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071519",
            "telephone_number": "215-762-5550",
            "fax_number": "215-762-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "HERBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MA02930300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001910299",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.