Organization Active NPI

Chester County Dermatology

  • Dermatology Physician
  • Downingtown, PA
National Provider Identifier
1710131438
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD010365E Issued in PA
Legal business name
CHESTER COUNTY DERMATOLOGY
Practice address
797 E Lancaster Ave
Ste 15
Downingtown, PA 19335-3315
Phone
(610) 269-5612
NPI assigned
Nov 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Daniel Dvorkin, MDNPI 1417921636
Title
Ower
Phone
(610) 269-5612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD010365E PA Primary

Addresses

Primary practice location

797 E Lancaster Ave
Ste 15
Downingtown, PA 19335-3315

Mailing address

797 E Lancaster Ave
Ste 15
Downingtown, PA 19335-3315
Phone (610) 269-5612

Other identifiers 1

IdentifierTypeStateIssuer
082894OtherASSOCIATED WITH

National Provider Directory

National Provider Directory

Locations

797 E Lancaster Ave
Ste 15
Downingtown, PA 19335
Phone (484) 593-0579

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1710131438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 E LANCASTER AVE",
            "address_2": "STE 15",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353315",
            "telephone_number": "610-269-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 E LANCASTER AVE",
            "address_2": "STE 15",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353315",
            "telephone_number": "610-269-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "DVORKIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "610-269-5612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD010365E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED WITH",
            "identifier": "082894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.