Individual provider Active NPI

Miriam Kasten, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1962212688
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066348 Issued in PA
Practice address
8001 Roosevelt Blvd Ste 307
Philadelphia, PA 19152-3039
Phone
(267) 731-1333
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA066348 PA
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X MA066348 PA Primary

Addresses

Primary practice location

8001 Roosevelt Blvd Ste 307
Philadelphia, PA 19152-3039

Mailing address

1632 Pine St
Philadelphia, PA 19103-6711
Phone (215) 735-7992

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711002488 PA Practitioner - Dermatology 1658886403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

8001 Roosevelt Blvd
Philadelphia, PA 19152-3038
Phone (267) 731-1333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA066348PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Apr 30, 2025 Accepting new patients
Deirdre Wood MD PC Dermatology CurrentSince Jan 19, 2025 Accepting new patients
Wolfgang a. Huhn, M.D., P.C. Dermatology PastSince Jun 23, 2010 Accepting new patients

Locations

1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546

3101 Bristol Rd
Ste 4
Bensalem, PA 19020
Phone (215) 253-3875

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

8001 Roosevelt Blvd
Ste 307
Philadelphia, PA 19152
Phone (267) 440-0090

Interoperability endpoints

  • Direct secure messaging: mirkasten@pennderm.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1962212688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036711",
            "telephone_number": "215-735-7992",
            "fax_number": "215-735-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD STE 307",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523039",
            "telephone_number": "267-731-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTEN",
        "first_name": "MIRIAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MA066348",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.