Individual provider Active NPI

Wolfgang Anton Huhn, MD

  • Dermatology Physician
  • Bensalem, PA
National Provider Identifier
1366437139
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD014899E Issued in PA
Practice address
3101 Bristol Rd
Suite 4
Bensalem, PA 19020-2168
Phone
(215) 750-0300
Fax
(215) 750-1849
NPI assigned
Sep 16, 2005
Last updated
Jan 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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 MD014899E PA Primary

Addresses

Primary practice location

3101 Bristol Rd
Suite 4
Bensalem, PA 19020-2168

Mailing address

3101 Bristol Rd
Bensalem, PA 19020-2168
Phone (215) 750-0300

Other identifiers 1

IdentifierTypeStateIssuer
0008769330001MedicaidPA

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
I20180730002413 NJ Practitioner - Dermatology 5698962090 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Jan 1, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 16, 2018 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 16, 2018 Accepting new patients

Locations

3101 Bristol Rd
Ste 4
Bensalem, PA 19020
Phone (215) 253-3875

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1366437139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-750-0300",
            "fax_number": "215-750-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD",
            "address_2": "SUITE 4",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-750-0300",
            "fax_number": "215-750-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUHN",
        "first_name": "WOLFGANG",
        "middle_name": "ANTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD014899E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008769330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.