Active NPI
Janet E Desipio, P.A.
- Dermatology Physician
- Bryn Mawr, PA
National Provider Identifier
1689861296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MA003510L
- Practice address
- 919 Conestoga Rd
BLDG 2, Suite 106
Bryn Mawr, PA 19010-1352 - Phone
- (610) 525-5028
- Fax
- (610) 525-2494
- NPI assigned
- Sep 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA003510L | PA | Primary |
| Pediatric Dermatology Physician | 207NP0225X | MA003510L | PA | |
| Procedural Dermatology Physician | 207NS0135X | MA003510L | PA |
Addresses
Primary practice location
919 Conestoga Rd
BLDG 2, Suite 106
Bryn Mawr, PA 19010-1352
Mailing address
919 Conestoga Rd
BLDG 2, Suite 106
Bryn Mawr, PA 19010-1352
Phone (610) 525-5028
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1689861296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG 2, SUITE 106",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "610-525-5028",
"fax_number": "610-525-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 CONESTOGA RD",
"address_2": "BLDG 2, SUITE 106",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101352",
"telephone_number": "610-525-5028",
"fax_number": "610-525-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIPIO",
"first_name": "JANET",
"middle_name": "E",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MA003510L",
"primary": true
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "PA",
"license": "MA003510L",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "PA",
"license": "MA003510L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.