Individual provider Active NPI

Valerie Nicole Hanft, MD

  • Dermatology Physician
  • Media, PA
National Provider Identifier
1528030392
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M0424 Issued in TX
Practice address
176 S New Middletown Rd Ste 203
Media, PA 19063-5255
Phone
(610) 566-7300
Fax
(610) 891-8973
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 M0424 TX Primary

Addresses

Primary practice location

176 S New Middletown Rd Ste 203
Media, PA 19063-5255

Mailing address

176 S New Middletown Rd Ste 203
Media, PA 19063-5255
Phone (610) 566-7300

Other identifiers 1

IdentifierTypeStateIssuer
8M7131OtherTXBCBS OF TEXAS INDIVIDUAL #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241227002797 PA Practitioner - Dermatology 0547156267 Reassigns benefits to 1 organization
I20250113001403 GA Practitioner - Dermatology 0547156267 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0424TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dermatology Associates, PC Dermatology CurrentSince Dec 22, 2024 Accepting new patients
Aesthetic Dermatology Associates, PC Dermatology CurrentSince Sep 10, 2024 Accepting new patients

Locations

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

176 S New Middletown Rd
Ste 203
Media, PA 19063
Phone (610) 566-7300

4 Industrial Blvd
Ste 200
Paoli, PA 19301
Phone (610) 644-3166

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1528030392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-566-7300",
            "fax_number": "610-891-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-566-7300",
            "fax_number": "610-891-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFT",
        "first_name": "VALERIE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M0424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS INDIVIDUAL #",
            "identifier": "8M7131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.