Bryn Mawr Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD421785 Issued in PA

Legal business name

BRYN MAWR DERMATOLOGY, P.C.

Practice address

775 E Lancaster Ave Ste 200
Villanova, PA 19085-1529

Phone

(610) 525-7800

Fax

(610) 525-7801

NPI assigned

Jan 3, 2007

Last updated

Jun 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Susan Stanko, M.D.NPI 1508865304

Title

Owner of Practice

Phone

(610) 525-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 20

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.

• Christine S Stanko, M.D.

  • Dermatopathology Physician
  • Villanova, PA
  • NPI 1508865304
  Medicare reassignment Care Compare group NPD Authorized official
• Christian Albornoz, MD

  • Dermatology Physician
  • Chesterbrook, PA
  • NPI 1962997262
  Medicare reassignment Care Compare group NPD
• Marisa Frances Baldassano, M.D.

  • Dermatopathology Physician
  • Lower Gwynedd, PA
  • NPI 1013965011
  Medicare reassignment Care Compare group NPD
• Seana Patrice Covello, MD

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1770599839
  Medicare reassignment Care Compare group NPD
• Lina Husienzad, M.D.

  • Dermatology Physician
  • Villanova, PA
  • NPI 1417489055
  Medicare reassignment Care Compare group NPD
• Brett Miller

  • MOHS-Micrographic Surgery Physician
  • Doylestown, PA
  • NPI 1376802884
  Medicare reassignment Care Compare group NPD
• John Peters

  • MOHS-Micrographic Surgery Physician
  • Villanova, PA
  • NPI 1598180309

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rafaele T Calamia, PA-C

  • Physician Assistant
  • Bryn Mawr, PA
  • NPI 1134295173
  Medicare reassignment Care Compare group
• Shannon Lea Del Grande, PA-C

  • Medical Physician Assistant
  • Villanova, PA
  • NPI 1447503412
  Medicare reassignment Care Compare group
• Theresa G Kueny, PA-C

  • Physician Assistant
  • Glen Mills, PA
  • NPI 1255607677
  Medicare reassignment Care Compare group
• Lilly Moss Parllaku, PA-C

  • Medical Physician Assistant
  • Villanova, PA
  • NPI 1851630735
  Medicare reassignment Care Compare group
• Kathleen Venesky, P.A.

  • Medical Physician Assistant
  • Glen Mills, PA
  • NPI 1811226806
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1750448924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 200",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-525-7800",
            "fax_number": "610-525-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 200",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-525-7800",
            "fax_number": "610-525-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "STANKO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "610-525-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD421785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Borck-Hadley, MSW
• Lee A. Bowers, PH.D.
• Tierney Brennan
• Valerie Amoss Brill, PT
• Bernard Alan Brownstein, MD
• Cathy Buch, MD
• Edward C Burnetta, M.D.
• Katherine Caldwell, DPT
• Stacy Marie Carone, MA, ATC, LAT, CSCS
• Sanae Chance, CRNA

• Dermatology Physician in Villanova, PA
• Providers in Villanova, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.