NPIMap

Organization Active NPI

Center City Dermatology LLC

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1841522380
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD428450 Issued in PA
Legal business name
CENTER CITY DERMATOLOGY LLC
Practice address
1500 Walnut St
Ste 1240
Philadelphia, PA 19102-3523
Phone
(267) 687-4437
Fax
(267) 687-4438
NPI assigned
Feb 9, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Sena J Lee, MD
Title
Owner
Phone
(267) 687-4437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD428450 PA Primary

Addresses

Primary practice location

1500 Walnut St
Ste 1240
Philadelphia, PA 19102-3523

Mailing address

2813 Ogden St
Philadelphia, PA 19130-1152
Phone (267) 687-4437

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1841522380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 OGDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301152",
            "telephone_number": "267-687-4437",
            "fax_number": "267-687-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST",
            "address_2": "STE 1240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "267-687-4437",
            "fax_number": "267-687-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SENA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-687-4437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD428450",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.