Active NPI
Panzer Dermatology Associates
- Specialist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1989022601
- Legal business name
- PANZER DERMATOLOGY ASSOCIATES
- Practice address
- 537 Stanton Christiana Rd
Suite 107
Newark, DE 19713-2146 - Phone
- (302) 633-7550
- Fax
- (302) 225-3774
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Pat Kwoka, MSMHC
- Title
- Practice Administrator
- Phone
- (302) 633-7550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1989022601 | DE | Primary |
Addresses
Primary practice location
537 Stanton Christiana Rd
Suite 107
Newark, DE 19713-2146
Mailing address
537 Stanton Christiana Rd
Suite 107
Newark, DE 19713-2146
Phone (302) 633-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000079402 | Medicaid | DE |
Other names 1
- Panzer Dermatology & Cosmetic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
537 Stanton Christiana Rd
Ste 109
Newark, DE 19713
Phone (302) 225-0177
537 Stanton Christiana Rd
#A
Newark, DE 19713
Phone (302) 633-7550
537 Stanton Christiana Rd
Ste 207207
Newark, DE 19713
537 Stanton Christiana Rd
Ste 111
Newark, DE 19713
Phone (302) 998-0741
1092 Old Churchmans Rd
#A
Newark, DE 19713
Phone (302) 633-7550
537 Stanton Christiana Rd
Ste 207
Newark, DE 19713
Phone (302) 633-7550
537 Stanton Christiana Rd
Ste 107
Newark, DE 19713
Phone (302) 633-7550
800 Delaware Ave
Fl 3
Wilmington, DE 19801
Practitioners & affiliated clinicians
Practitioners 36
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Newark, DE
- NPI 1265992754
-
- Dermatology Physician
- Dover, DE
- NPI 1548321714
-
- MOHS-Micrographic Surgery Physician
- Newark, DE
- NPI 1801890397
-
- Dermatology Physician
- Newark, DE
- NPI 1285896829
-
- Dermatology Physician
- Newark, DE
- NPI 1194927764
-
- Dermatology Physician
- Newark, DE
- NPI 1023012515
-
- Otolaryngology Physician
- Newark, DE
- NPI 1942644489
-
- Plastic and Reconstructive Surgery Physician
- Newark, DE
- NPI 1235252669
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Newark, DE
- NPI 1669476164
-
- Dermatology Physician
- Newark, DE
- NPI 1871797936
-
- MOHS-Micrographic Surgery Physician
- Newark, DE
- NPI 1730640780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1740201995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 STANTON CHRISTIANA RD",
"address_2": "SUITE 107",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132146",
"telephone_number": "302-633-7550",
"fax_number": "302-225-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 STANTON CHRISTIANA RD",
"address_2": "SUITE 107",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132146",
"telephone_number": "302-633-7550",
"fax_number": "302-225-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANZER DERMATOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "KWOKA",
"authorized_official_first_name": "MARY PAT",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "302-633-7550",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSMHC"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "DE",
"license": "1989022601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000079402",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Panzer Dermatology & Cosmetic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.