Organization Active NPI

Skin Cancer Centers of America PLLC

  • Radiation Oncology Clinic/Center
  • Exton, PA
National Provider Identifier
1447094917
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
SKIN CANCER CENTERS OF AMERICA PLLC
Practice address
460 Creamery Way Ste 104
Exton, PA 19341-2533
Phone
(610) 513-1123
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Karyn NavinNPI 1659810596
Title
Member
Phone
(610) 513-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

460 Creamery Way Ste 104
Exton, PA 19341-2533

Mailing address

460 Creamery Way Ste 104
Exton, PA 19341-2533
Phone (610) 513-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018000759 PA Part B Supplier - Clinic/Group Practice 6709318439 Receives reassigned benefits from 2 practitioners
Practice locations: Lancaster, PA; Kennett Square, PA; Exton, PA

National Provider Directory

National Provider Directory

Locations

460 Creamery Way
Ste 104
Exton, PA 19341
Phone (610) 280-7960

608 Richmond Dr
Ste 103
Lancaster, PA 17601
Phone (610) 596-9002

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1447094917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY STE 104",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-513-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY STE 104",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-513-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER CENTERS OF AMERICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "NAVIN",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-513-1123"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.