Center for Dermatopathology, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D1092722 Issued in PA

Legal business name

CENTER FOR DERMATOPATHOLOGY, P.C.

Practice address

101 Chesley Dr
Suite 201
Media, PA 19063-1761

Phone

(610) 566-3088

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Edward Chan, M.D.NPI 1417940941

Title

President and Director

Phone

(610) 348-1437

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Fung Chan, MD

  • Dermatopathology Physician
  • Media, PA
  • NPI 1417940941
  NPD Authorized official

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1477791929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "address_2": "SUITE 201",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "610-566-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESLEY DR",
            "address_2": "SUITE 201",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631761",
            "telephone_number": "610-566-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DERMATOPATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "610-348-1437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D1092722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Cavicchia, LPC
• Bryan Cecchi, DMD
• Dorothy Lynn Celebre, M.A. C.C.C./S.L.P.
• Jeffrey E. Celebre, PH.D.
• Center for Cognitive Behavioral Therapy, Inc.
• Centralized Spine, LLC
• Gunnar Morris Centrone, DC
• Michelle Cerato Booth, PAC
• Mary M Cerullo, CRNP
• Josiana Maria Cetta, PSY.D.

• Clinical Medical Laboratory in Media, PA
• Providers in Media, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.