Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1073902169
Dermatology - Dermatopathology in Philadelphia, PA

Q: What is University Of Penn-Medical Group's NPI number?

The NPI number for University Of Penn-Medical Group is 1073902169. It was assigned to this organization in the NPPES registry on January 13, 2015.

Q: What is University Of Penn-Medical Group's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since January 13, 2015

3400 SPRUCE ST, 2 RHOADS PAVILION, PHILADELPHIA, PA 19104(215) 662-2737 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Nov 19, 2020, Dec 16, 2015 (3 updates tracked since 2015).

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About University Of Penn-medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF PENN-MEDICAL GROUP (NPI 1073902169) is a healthcare organization registered as a dermatopathology in Philadelphia, Pennsylvania and active in the NPI registry since January 2015. The organization lists Stacy Greco, Payer Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1073902169

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP

Location Address3400 SPRUCE ST, 2 RHOADS PAVILIONPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce St, 2 Rhoads PavilionPhiladelphia, PA 19104-4238 · (215) 662-2737

Phone(215) 662-2737

Organization SubpartNo

Authorized OfficialStacy GrecoPayer Enrollment Manager · (223) 341-8516

Enumeration DateJanuary 13, 2015

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1073902169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedDentistTaxonomy 122300000X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

3400 SPRUCE ST, Philadelphia, PA 19104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

MONIQUE LORRAINE ROBERTS SALAHUB

Anesthesiology (Critical Care Medicine)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Penn-Medical Group's NPI number?

The NPI number for University Of Penn-Medical Group is 1073902169. It was assigned to this organization in the NPPES registry on January 13, 2015.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3400 Spruce St 2 Rhoads Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-2737.

What is University Of Penn-Medical Group's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

What insurance does University Of Penn-Medical Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Penn-Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Penn-Medical Group was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.