PANZER DERMATOLOGY
NPI 1104270834
Physician Assistant - Medical in Newark, DE

Active since April 19, 2016CLIA Certified · 3 labs
537 STANTON CHRISTIANA RD, SUITES 107,111,207 & 209, NEWARK, DE 19713(302) 633-7550 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Panzer Dermatology NPPES

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

PANZER DERMATOLOGY (NPI 1104270834) is a healthcare organization registered as a medical in Newark, Delaware and active in the NPI registry since April 2016. The organization holds 3 active CLIA laboratory certificates and lists Marypat Kwoka, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1104270834
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePREMIER DERMATOLOGY
Location Address537 STANTON CHRISTIANA RD, SUITES 107,111,207 & 209Newark, DE 19713-2146
Mailing Address537 Stanton Christiana Rd, Suites 107,111,207 & 209Newark, DE 19713-2146 · (302) 633-7550
Organization SubpartNo
Authorized OfficialMarypat KwokaPractice Administrator · (302) 633-7550
Enumeration DateApril 19, 2016
NPI 1104270834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in DE · C5-0001054
537 STANTON CHRISTIANA RD, Newark, DE 19713

Other Names 1

Doing Business AsPanzer Dermatology

Other Identifiers 1

OtherC5-0001054DE · Division Of Professional Regulation License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 08D0205587

Panzer Dermatology & Associates D/B/A Premier Dermatology & Cosmetic Surgery · Newark, DE
Active · expires Aug 25, 2027
CLIA Number08D0205587
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDr. Matthew R. Hanson
Laboratory Phone(302) 225-0170
Laboratory LocationPanzer Dermatology & Associates D/B/A Premier Dermatology & Cosmetic Surgery537 Stanton-Christiana Road Suite 106/107/111/207/209, Newark, DE 19713
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 08D2170803

Panzer Dermatology & Associates, PA · Middletown, DE
Active · expires Aug 19, 2027
CLIA Number08D2170803
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorDr. Matthew R. Hanson
Laboratory Phone(302) 633-7550
Laboratory LocationPanzer Dermatology & Associates, PA118 Sandhill Drive, Suite 104, Middletown, DE 19709
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 08D0682019

Premier Dermatology And Cosmetic Surgery · Wilmington, DE
Active · expires Aug 31, 2026
CLIA Number08D0682019
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Matthew R. Hanson
Laboratory Phone(302) 633-7550
Laboratory LocationPremier Dermatology And Cosmetic Surgery800 Delaware Ave 3rd Floor, Wilmington, DE 19801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Dermatology
537 STANTON CHRISTIANA RD, SUITE # 207
NEWARK, DE 19713
Physician Assistant
537 STANTON CHRISTIANA RD
NEWARK, DE 19713
Nurse Practitioner (Family)
537 STANTON CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Dentist (General Practice)
537 STANTON CHRISTIANA RD, SUITE 211
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713
Internal Medicine (Rheumatology)
537 STANTON CHRISTIANA RD, SUITE 212
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713
Physician Assistant
537 STANTON CHRISTIANA RD
NEWARK, DE 19713

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 Premier Dermatology's NPI number?

The NPI number for Premier Dermatology is 1104270834. It was assigned to this organization in the NPPES registry on April 19, 2016. The provider is doing business as Panzer Dermatology.

Where is Premier Dermatology located?

Premier Dermatology is located at 537 Stanton Christiana Rd Suites 107,111,207 & 209, Newark, DE 19713. The listed phone number is (302) 633-7550.

What is Premier Dermatology's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Premier Dermatology hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premier Dermatology was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.