Active NPI
Marissa Jill Perman-Laskin, MD
- Pediatric Dermatology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- License
- MD442893
- Practice address
- 3500 Civic Center Blvd FL 6
Philadelphia, PA 19104-4395 - Phone
- (215) 590-2169
- Fax
- (215) 590-4948
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dermatology Physician | 207NP0225X | MD442893 | PA | Primary |
Addresses
Primary practice location
3500 Civic Center Blvd FL 6
Philadelphia, PA 19104-4395
Mailing address
100 E Penn SQ
9TH Floor
Philadelphia, PA 19107-3323
Phone (267) 425-9232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Pediatric Dermatology | Current | Accepting new patients |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
550 S Goddard Blvd
King of Prussia, PA 19406
Phone (610) 337-3232
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3500 Civic Center Blvd
Fl 6
Philadelphia, PA 19104
Phone (215) 590-2169
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3500 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-2169
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.
-
- Pediatric Dermatology Physician
- Philadelphia, PA
- NPI 1073608006
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1457568404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ",
"address_2": "9TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9232",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CIVIC CENTER BLVD FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044395",
"telephone_number": "215-590-2169",
"fax_number": "215-590-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERMAN-LASKIN",
"first_name": "MARISSA",
"middle_name": "JILL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "PA",
"license": "MD442893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.