RIVERSIDE DERMATOLOGY, LLC
NPI 1366400236
Dermatology in Laurys Station, PA

Active since May 02, 2006
5649 WYNNEWOOD DR, SUITE 202, LAURYS STATION, PA 18059(610) 261-1115(610) 261-9601 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Dermatology, Llc NPPES

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

RIVERSIDE DERMATOLOGY, LLC (NPI 1366400236) is a healthcare organization registered as a dermatology in Laurys Station, Pennsylvania and active in the NPI registry since May 2006. The organization lists Terry Robbins, Owner, as its authorized official.

NPPES Registry Identity

NPI1366400236
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRIVERSIDE DERMATOLOGY, LLC
Location Address5649 WYNNEWOOD DR, SUITE 202Laurys Station, PA 18059-1138
Mailing Address5649 Wynnewood Dr, Suite 202Laurys Station, PA 18059-1138 · (610) 261-1115 · Fax (610) 261-9601
Fax(610) 261-9601
Organization SubpartNo
Authorized OfficialTerry RobbinsOwner · (610) 261-1115
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1366400236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5649 WYNNEWOOD DR, Laurys Station, PA 18059

Other Identifiers 5

Other2288874000Personal Choice
Other02352200PA · Capital Blue Cross
Other1611176PA · Highmark Blue Shield
Other501504Aetna
OtherP00089866Railroad Medicare

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Dentist
5649 WYNNEWOOD DR, SUITE 201
LAURYS STATION, PA 18059
Family Medicine
5649 WYNNEWOOD DR, SUITE 203
LAURYS STATION, PA 18059
Pediatrics
5649 WYNNEWOOD DR, SUITE 104
LAURYS STATION, PA 18059
Pediatrics
5649 WYNNEWOOD DR, SUITE 104
LAURYS STATION, PA 18059
Family Medicine
5649 WYNNEWOOD DR, #203
LAURYS STATION, PA 18059
Specialist
5649 WYNNEWOOD DR, SUITE 202
LAURYS STATION, PA 18059
Family Medicine
5649 WYNNEWOOD DR, SUITE 202
LAURYS STATION, PA 18059
Family Medicine
5649 WYNNEWOOD DR, SUITE 203
LAURYS STATION, PA 18059

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 Riverside Dermatology, LLC's NPI number?

The NPI number for Riverside Dermatology, LLC is 1366400236. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Riverside Dermatology, LLC located?

Riverside Dermatology, LLC is located at 5649 Wynnewood Dr Suite 202, Laurys Station, PA 18059. The listed phone number is (610) 261-1115.

What is Riverside Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Riverside Dermatology, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.