Active NPI
Jon Hamilton Meyerle, M.D.
- Dermatology Physician
- Ardmore, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD464849
- Practice address
- 32 Parking PLZ Ste 300
Ardmore, PA 19003 - Phone
- (610) 299-4561
- Fax
- (610) 200-1411
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D62336 | MD | |
| Dermatology Physician | 207N00000X | MD464849 | PA | Primary |
Addresses
Primary practice location
32 Parking PLZ Ste 300
Ardmore, PA 19003
Mailing address
220 Glenn Rd
Ardmore, PA 19003-2512
Phone (202) 246-3262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407240500 | Medicaid | MD | |
| 103577690-0003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Yale University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32 Parking PLZ
Ardmore, PA 19003-2415
Phone (610) 299-4561
504 Lippincott Dr
Marlton, NJ 08053-4802
Phone (856) 751-9560
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 327 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schweiger Dermatology, PC | Dermatology | Current | Accepting new patients |
| Sylvan Dermatology LLC | Dermatology | Current | Accepting new patients |
| Dermatology and Cosmetic Surgery Institute, PC | Dermatology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
8001 Route 130
Delran, NJ 08075
Phone (856) 461-1400
712 E Bay Ave
Ste 18
Manahawkin, NJ 08050
504 Lippincott Dr
Marlton, NJ 08053
Phone (856) 751-9560
32 Parking Plz
Ste 300
Ardmore, PA 19003
Phone (202) 246-3262
135 S Bryn Mawr Ave
Ste 308
Bryn Mawr, PA 19010
Phone (610) 299-4561
Interoperability endpoints
- jmeyerle@sylvan.emadirect.md
Organizations & group practices 4
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.
-
- Dermatology Physician
- Ardmore, PA
- NPI 1275151458
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
-
- MOHS-Micrographic Surgery Physician
- Fort Washington, PA
- NPI 1043485600
Dermatology
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1972552545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GLENN RD",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032512",
"telephone_number": "202-246-3262",
"fax_number": "610-200-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 PARKING PLZ STE 300",
"city": "ARDMORE",
"state": "PA",
"postal_code": "19003",
"telephone_number": "610-299-4561",
"fax_number": "610-200-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERLE",
"first_name": "JON",
"middle_name": "HAMILTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D62336",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD464849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407240500",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103577690-0003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.