Active NPI
Joseph M Serletti, MD
- Plastic and Reconstructive Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD425687
- Practice address
- 3400 Spruce Street
10 Penn Tower
Philadelphia, PA 19104 - Phone
- (215) 662-7090
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD425687 | PA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD425687 | PA | Primary |
Addresses
Primary practice location
3400 Spruce Street
10 Penn Tower
Philadelphia, PA 19104
Mailing address
3624 Market Street
Ste 560W Uphs Office of Medical Affairs
Philadelphia, PA 19104
Phone (215) 662-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013006560007 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050420000824 | PA | Practitioner - Plastic and Reconstructive Surgery | 0749228740 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (215) 622-3743
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (215) 662-3743
145 King of Prussia Rd
Radnor, PA 19087-4557
145 King of Prussia Rd 201
Radnor, PA 19087-4557
145 King of Prussia Rd 203
Radnor, PA 19087-4557
145 King of Prussia Rd 302
GYN/Onc Radnor
Radnor, PA 19087-4557
Phone (610) 902-2500
145 King of Prussia Rd N
G102 Oto Surgery Radnor
Philadelphia, PA 19087-4557
Phone (610) 902-5500
145 King of Prussia Rd N G
1 Rad Onc Rdanor
Radnor, PA 19087-4557
Phone (610) 902-4580
145 King of Prussia Road G-103
Oral/Maxillo Surg Radnor
Radnor, PA 19087-4557
Phone (610) 902-2100
23 Morris Ave
Suite 219
Bryn Mawr, PA 19010-3335
Phone (610) 525-1303
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
3400 Civic Ctr Blvd 1
Abram Cancer Ctr Pacam 1 FLR
Philadelphia, PA 19104-5127
Phone (215) 893-2600
3400 Civic Ctr Blvd 3Rd Floor Sout
Penn Medicine Otorhinolaryngology Head and N
Philadelphia, PA 19104-5127
Phone (215) 662-2777
3400 Civic Ctr Blvd 4TH
Philadelphia, PA 19104-5127
Phone (215) 662-2626
3400 Civic Ctr Blvd 4TH Floor
Advanced Wound Healing and Lower Extremity Re
Philadelphia, PA 19104-5127
Phone (215) 662-7300
3400 Civic Ctr Blvd 4TH Floor Per
Gi Surgery Pcam
Philadelphia, PA 19104-5127
Phone (215) 662-2626
3400 Civic Ctr Blvd 4TH Floor S
Oral/Maxill Surgery Pcam
Philadelphia, PA 19104-5127
Phone (215) 662-3580
3400 Spruce St
Philadelphia, PA 19104-4206
3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079
701 E Marshall St
West Chester, PA 19380-4412
701 E Marshall Street 2ND Floor
Cardiac Surgery Chester County
West Chester, PA 19380-4412
Phone (610) 738-2690
Hospital & facility affiliations
- Penn Medicine Home Health
- Hospital of Univ of Pennsylvania
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 106 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current | Accepting new patients | |
| University of Penn-Medical Group | Plastic Surgery | Current | Accepting new patients |
| Lancaster General Hospital | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Past | Accepting new patients | |
| Professional Providers Inc | Past | Accepting new patients | |
| Lancaster General Medical Group | Past | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
23 Morris Ave
#219
Bryn Mawr, PA 19010
Phone (484) 883-6827
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600
554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664
3400 Spruce St
#10
Philadelphia, PA 19104
Phone (215) 662-2096
230 W Washington Sq
Ste 101
Philadelphia, PA 19106
Phone (215) 829-6320
3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050
250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800
145 King of Prussia Rd
Ste 203
St Davids, PA 19087
Phone (215) 662-8664
800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092
100 E Lancaster Ave
#275
Wynnewood, PA 19096
Phone (215) 622-3743
Organizations & group practices 25
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Lancaster, PA
- NPI 1508293994
PA, Plastic and Reconstructive Surgery
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1477660173
-
- Geriatric Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1497767495
-
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
- NPI 1568579266
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
-
- Clinical Genetics (M.D.) Physician
- Philadelphia, PA
- NPI 1912014614
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Clinical Medical Laboratory
- Philadelphia, PA
- NPI 1184012569
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1770513822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 MARKET STREET",
"address_2": "STE 560W UPHS OFFICE OF MEDICAL AFFAIRS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "10 PENN TOWER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERLETTI",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD425687",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD425687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013006560007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.