Dermatology and Mohs Surgery Center PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DERMATOLOGY AND MOHS SURGERY CENTER PC

Practice address

920 Lawn Ave Ste 6
Sellersville, PA 18960-1560

Phone

(267) 354-1440

Fax

(267) 354-1292

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Breeswine

Title

Practice Administrator

Phone

(215) 345-6647

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Jeffrey Albert Kushner, D.O.

  • Dermatology Physician
  • Doylestown, PA
  • NPI 1801202924
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1811469760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE STE 6",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "267-354-1440",
            "fax_number": "267-354-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE STE 6",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "267-354-1440",
            "fax_number": "267-354-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND MOHS SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "BREESWINE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-345-6647"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Davis Mazenko, PA-C
• Frank C Davis Jr., CRNA
• Heather L Davis, BA
• Joseph H Davis, M.A.
• Nathan James Davis, DO
• Jacob Derstine, DPT
• Vishal Sanjay Desai
• Donald G Detweiler, BSW
• John Detweiler, PT
• Lauren Detweiler

• Non-Pharmacy Dispensing Site in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.