Robert Vincent Desilverio Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD419144 Issued in PA

Practice address

1401 New Rd
Linwood, NJ 08221

Phone

(609) 927-5885

Fax

(609) 927-5565

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Dermatology

Education

Hahnemann University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William K. Sherwin, M.D., PH.D.Group PAC ID 9335123959, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• William K. Sherwin MD PHD

  • Dermatology Physician
  • Bala Cynwyd, PA
  • NPI 1629010236

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Dermatologix, Inc

  • Specialist
  • Linwood, NJ
  • NPI 1497841787

  Single Specialty

  NPD
• Dermatopathology Consultants, LLC

  • Dermatopathology Physician
  • Haddon Heights, NJ
  • NPI 1518155068

  Single Specialty

  NPD (past)
• Advanced Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740671767

  Single Specialty

  NPD (past)
• Andrew K Pollack

  • Dermatology Physician
  • Fort Washington, PA
  • NPI 1760555924

  Single Specialty

  NPD (past)
• Atlantic Dermatopathology, LLC

  • Clinical Medical Laboratory
  • Lester, PA
  • NPI 1124211875
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1972591147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 STOCTON ROAD",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-688-1223",
            "fax_number": "866-865-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-927-5885",
            "fax_number": "609-927-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILVERIO",
        "first_name": "ROBERT",
        "middle_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD419144",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "DE",
            "license": "C1-0008078",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA07850300",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD419144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Lynn Delong, MD, RDN
• Delta Community Supports, Inc.
• Christopher Joseph Depolis Jr., D.C.
• Dermatologix, Inc
• Joseph T Derosa, PT
• Janis Desrosiers
• Christopher Paul Dewees
• Shannon Dickson, OTR
• Edward Bruner Dilks, R.R.T.
• Richard A. Domsky, MD

• Dermatology Physician in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.

Verify at the official NPI Registry.