Active NPI
Bryn Mawr Skin & Cancer LLP
- Specialist
- Rosemont, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- BRYN MAWR SKIN & CANCER LLP
- Practice address
- 919 Conestoga Rd
BLDG 2, Suite 106
Rosemont, PA 19010 - Phone
- (610) 525-5025
- Fax
- (610) 525-2494
- NPI assigned
- Apr 20, 2006
- Last updated
- Mar 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teri V Campbell, CMM
- Title
- Practice Administrator
- Phone
- (610) 525-5028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
919 Conestoga Rd
BLDG 2, Suite 106
Rosemont, PA 19010
Mailing address
919 Conestoga Rd
BLDG 2, Suite 106
Bryn Mawr, PA 19010-1352
Phone (610) 525-5025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0195109 | Bryn Mawr Skin and Cancer Institute | Compliance | Jan 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
919 Conestoga Rd
Ste 106
Bryn Mawr, PA 19010
Phone (215) 525-5028
919 Conestoga Rd
Ste 2-106
Bryn Mawr, PA 19010
Phone (610) 525-5028
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1669689352
-
- Dermatopathology Physician
- Bryn Mawr, PA
- NPI 1356349377
-
- Dermatology Physician
- Havertown, PA
- NPI 1659464352
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1487850871
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1497713556
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1912901802
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1730717463
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1699703934
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1356927396
-
- Dermatology Physician
- Bryn Mawr, PA
- NPI 1790972305
-
- Dermatology Physician
- Wyomissing, PA
- NPI 1023302965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1346205242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG 2, SUITE 106",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "610-525-5025",
"fax_number": "610-525-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG 2, SUITE 106",
"city": "ROSEMONT",
"state": "PA",
"postal_code": "19010",
"telephone_number": "610-525-5025",
"fax_number": "610-525-2494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYN MAWR SKIN & CANCER LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "TERI",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "610-525-5028",
"authorized_official_credential": "CMM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosemont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.