NPIMap

Organization Active NPI

Bucks-Mont Dermatology Associates PC

  • Dermatology Physician
  • Doylestown, PA
National Provider Identifier
1992791156
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS003398L Issued in PA
Legal business name
BUCKS-MONT DERMATOLOGY ASSOCIATES PC
Doing business as
Bucks-Mont Dermatology Associates PC
Practice address
103 Progress Dr
Ste 100
Doylestown, PA 18901-2511
Phone
(215) 345-4080
Fax
(215) 345-7575
NPI assigned
Sep 23, 2005
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Donald J Adler, DO
Title
Owner
Phone
(215) 345-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS003398L PA Primary

Addresses

Primary practice location

103 Progress Dr
Ste 100
Doylestown, PA 18901-2511

Mailing address

103 Progress Dr
Ste 100
Doylestown, PA 18901-2511
Phone (215) 345-4080

Other identifiers 3

IdentifierTypeStateIssuer
001828046MedicaidPA
5256722OtherAETNA
733753OtherIBC

Other names 1

  • Bucks-Mont Dermatology Associates PC Doing business as

National Provider Directory

National Provider Directory

Locations

103 Progress Dr
Ste 100
Doylestown, PA 18901
Phone (215) 345-4080

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1992791156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR",
            "address_2": "STE 100",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-345-4080",
            "fax_number": "215-345-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR",
            "address_2": "STE 100",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-345-4080",
            "fax_number": "215-345-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS-MONT DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-345-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS003398L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001828046",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5256722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "733753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bucks-Mont Dermatology Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.