Rencic Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RENCIC DERMATOLOGY, LLC

Practice address

1102 Baltimore Pike
Suite 202
Glen Mills, PA 19342

Phone

(610) 558-1446

Fax

(610) 558-1449

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Adrienne Rencic, M.D., PH.D.

Title

Authorized Official

Phone

(610) 558-1446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982644670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BALTIMORE PIKE",
            "address_2": "SUITE 202",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-558-1446",
            "fax_number": "610-558-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 BALTIMORE PIKE",
            "address_2": "SUITE 202",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-558-1446",
            "fax_number": "610-558-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENCIC DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENCIC",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-558-1446",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Raker I
• Nicole M Randazzo, OTR/L
• Reconstructive Orthopaedic Associates II, P.C.
• Recovery Pump, LLC
• Louise Regan, OTR/L
• Jane Resnik
• Rheumatology Care Specialists
• Kristen Marie Rhodes, MA
• Anthony Ricco, M.D.
• Melissa Ann Sy Rivera, OD

• Dermatology Physician in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.