Active NPI
Dermatology Associates of Delaware Valley PC
- Dermatology Physician
- Newtown Square, PA
National Provider Identifier
1821160011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD07523L
- Legal business name
- DERMATOLOGY ASSOCIATES OF DELAWARE VALLEY PC
- Practice address
- 3501 W Chester Pike
Unit 205
Newtown Square, PA 19073-3704 - Phone
- (610) 325-5553
- Fax
- (610) 325-5532
- NPI assigned
- Nov 14, 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
- Dr. Daphne Elizabeth Coch Benstock, MD
- Title
- President
- Phone
- (610) 325-5553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD07523L | PA | Primary |
Addresses
Primary practice location
3501 W Chester Pike
Unit 205
Newtown Square, PA 19073-3704
Mailing address
3501 W Chester Pike Ste 202
Newtown Square, PA 19073-3708
Phone (610) 325-5553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD070523L | Other | PA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3501 West Chester Pike
Ste 205
Newtown Square, PA 19073
Phone (610) 325-5553
3501 West Chester Pike
Ste 202
Newtown Square, PA 19073
Phone (610) 325-5553
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Newtown Square, PA
- NPI 1710921101
-
- Adult Health Nurse Practitioner
- Newtown Square, PA
- NPI 1871482760
-
- Ophthalmology Physician
- Newtown Square, PA
- NPI 1689688053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1821160011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 W CHESTER PIKE STE 202",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733708",
"telephone_number": "610-325-5553",
"fax_number": "610-325-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W CHESTER PIKE",
"address_2": "UNIT 205",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733704",
"telephone_number": "610-325-5553",
"fax_number": "610-325-5532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES OF DELAWARE VALLEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "COCH BENSTOCK",
"authorized_official_first_name": "DAPHNE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-325-5553",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD07523L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD070523L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.