NPIMap

Organization Active NPI

Reading Dermatology Associates PC

  • Dermatology Physician
  • West Lawn, PA
National Provider Identifier
1942442553
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD008407E Issued in PA
Legal business name
READING DERMATOLOGY ASSOCIATES PC
Practice address
3317 Penn Ave
West Lawn, PA 19609-1436
Phone
(610) 750-7891
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Jason Errol Hendrix, DONPI 1407037237
Title
President
Phone
(610) 750-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD008407E PA Primary

Addresses

Primary practice location

3317 Penn Ave
West Lawn, PA 19609-1436

Mailing address

3317 Penn Ave
Reading, PA 19609-1436
Phone (107) 507-8916

Other identifiers 7

IdentifierTypeStateIssuer
1336317346OtherNPI HENDRIX A
119570OtherPAHENDRIX MEDICARE
1861487449OtherNPI SCHLEICHER
429860OtherPABURGET MEDICARE
1164402475OtherNPI BURGET
132147OtherPAMEDICARE SCHLEICHER
1407037237OtherNPI HENDRIX J

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.readingderm.com/contact/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000005 PA Part B Supplier - Clinic/Group Practice 6901955442 Receives reassigned benefits from 9 practitioners
Practice locations: Mohrsville, PA; West Lawn, PA; Slatedale, PA; Shillington, PA; Reading, PA

National Provider Directory

National Provider Directory

Locations

3317 Penn Ave
West Lawn, PA 19609
Phone (610) 644-8225

2208 Quarry Dr
Ste 206
West Lawn, PA 19609
Phone (610) 685-2449

Practitioners & affiliated clinicians

Practitioners 11

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": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1942442553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 PENN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091436",
            "telephone_number": "107-507-8916",
            "fax_number": "610-750-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 PENN AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091436",
            "telephone_number": "610-750-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READING DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-750-7891",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD008407E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI HENDRIX A",
            "identifier": "1336317346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HENDRIX MEDICARE",
            "identifier": "119570",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SCHLEICHER",
            "identifier": "1861487449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BURGET MEDICARE",
            "identifier": "429860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BURGET",
            "identifier": "1164402475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SCHLEICHER",
            "identifier": "132147",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI HENDRIX J",
            "identifier": "1407037237",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.readingderm.com/contact/",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Any",
            "address_1": "3317 Penn Ave",
            "city": "West Lawn",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196091436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.

Verify at the official NPI Registry.