NPIMap

Organization Active NPI

Family Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Reading, PA
National Provider Identifier
1669482105
Registry record updated Sep 23, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • BRCH SA exclusion effective May 18, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FAMILY DERMATOLOGY OF PENNSYLVANIA, PC
Practice address
6 Hearthstone CT
Suite 101
Reading, PA 19606-3065
Phone
(610) 779-7773
Fax
(610) 779-7775
NPI assigned
Aug 8, 2006
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Paula M. Nelson, MDNPI 1356333645
Title
Owner
Phone
(215) 483-3666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X

Addresses

Primary practice location

6 Hearthstone CT
Suite 101
Reading, PA 19606-3065

Mailing address

629 Beaver Ruin Rd NW
Suite B
Lilburn, GA 30047-3468
Phone (770) 921-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3516 Silverside Rd
Ste 19
Wilmington, DE 19810
Phone (302) 478-1213

1305 S Fort Harrison Ave
Ste A
Clearwater, FL 33756
Phone (727) 461-4600

583 E State Road 434
Longwood, FL 32750
Phone (407) 327-1765

2445 Tampa Rd
Ste C
Palm Harbor, FL 34683
Phone (727) 787-1221

2921 S Orlando Dr
Sanford, FL 32773
Phone (407) 324-0104

1208B Vfw Pkwy
Ste 200
West Roxbury, MA 02132
Phone (617) 608-1575

797 E Lancaster Ave
Ste 15
Downingtown, PA 19335
Phone (610) 269-5612

130 Airport Rd
Hazleton, PA 18202
Phone (570) 454-2435

5649 Wynnewood Dr
Ste 202
Laurys Station, PA 18059
Phone (610) 261-1115

408 York Rd
Ste A
New Hope, PA 18938
Phone (215) 862-6000

5 Market Pl
Ste 50
New Hope, PA 18938
Phone (215) 862-6000

2701 DeKalb Pike
Ste 206
Norristown, PA 19401
Phone (610) 277-5446

9501 Bustleton Ave
Ste 304
Philadelphia, PA 19115

9501 Roosevelt Blvd
Ste 508
Philadelphia, PA 19114
Phone (215) 464-7400

308 E Lancaster Ave
Ste 210
Wynnewood, PA 19096
Phone (610) 642-1806

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1669482105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473468",
            "telephone_number": "770-921-4300",
            "fax_number": "770-381-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEARTHSTONE CT",
            "address_2": "SUITE 101",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063065",
            "telephone_number": "610-779-7773",
            "fax_number": "610-779-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DERMATOLOGY OF PENNSYLVANIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-483-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.