PINE STREET DERMATOLOGY, PC
NPI 1396822870
Dermatology in Philadelphia, PA

Active since November 01, 2006
1233 LOCUST ST., SUITE 101, PHILADELPHIA, PA 19107(215) 735-2636(215) 735-2634 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Street Dermatology, Pc NPPES

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

PINE STREET DERMATOLOGY, PC (NPI 1396822870) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since November 2006. The organization lists Seana Covello, President, as its authorized official.

NPPES Registry Identity

NPI1396822870
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePINE STREET DERMATOLOGY, PC
Location Address1233 LOCUST ST., SUITE 101Philadelphia, PA 19107
Mailing Address1233 Locust St., Suite 101Philadelphia, PA 19107 · (215) 735-2636 · Fax (215) 735-2634
Fax(215) 735-2634
Organization SubpartNo
Authorized OfficialSeana CovelloPresident · (215) 574-9101
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 11, 2012
NPI 1396822870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD067435L
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.
Also ListedSpecialistTaxonomy 174400000X · License MD067435L (PA)
1233 LOCUST ST., Philadelphia, PA 19107

Other Identifiers 5

Medicare PINDB2996PA
Other2146941000PA · Ibc
Other3150557PA · Aetna
Medicare PIN069014PA
Other1458723PA · Highmark Blue Shield

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

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 Pine Street Dermatology, PC's NPI number?

The NPI number for Pine Street Dermatology, PC is 1396822870. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Pine Street Dermatology, PC located?

Pine Street Dermatology, PC is located at 1233 Locust St. Suite 101, Philadelphia, PA 19107. The listed phone number is (215) 735-2636.

What is Pine Street Dermatology, PC'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 Pine Street Dermatology, PC was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.