BALDASSANO DERMATOPATHOLOGY, PC
NPI 1427000686
Dermatology - Dermatopathology in Lower Gwynned, PA

Active since May 16, 2006CLIA 39D1041216 · Certificate of Compliance
101 HILLCREST LANE, LOWER GWYNNED, PA 19002(215) 628-0855 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Baldassano Dermatopathology, Pc NPPES

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

BALDASSANO DERMATOPATHOLOGY, PC (NPI 1427000686) is a healthcare organization registered as a dermatopathology in Lower Gwynned, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through July 7, 2027 and lists Marisa Baldassano, President, as its authorized official.

NPPES Registry Identity

NPI1427000686
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameBALDASSANO DERMATOPATHOLOGY, PC
Location Address101 HILLCREST LANELower Gwynned, PA 19002
Mailing Address101 Hillcrest LaneLower Gwynedd, PA 19002
Organization SubpartNo
Authorized OfficialMarisa BaldassanoPresident · (215) 628-0855
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1427000686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
101 HILLCREST LANE, Lower Gwynned, PA 19002

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baldassano Dermatopathology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20050621000205Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Baldassano Dermatopathology, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pathology
NPI 1013965011
101 HILLCREST LANE
Lower Gwynedd, PA 19002
(215) 628-0855
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1972558781
3805 W CHESTER PIKE BLDG D, SUITE 120
Newtown Square, PA 19073
(800) 257-0117
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 39D1041216

Baldassano Dermatopathology PC · Lower Gwynedd, PA
Active · expires Jul 7, 2027
CLIA Number39D1041216
Laboratory TypeIndependent
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorMarisa F. Baldassano
Laboratory Phone(215) 628-0855
Laboratory LocationBaldassano Dermatopathology PC101 Hillcrest Lane, Lower Gwynedd, PA 19002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Baldassano Dermatopathology, PC's NPI number?

The NPI number for Baldassano Dermatopathology, PC is 1427000686. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Baldassano Dermatopathology, PC located?

Baldassano Dermatopathology, PC is located at 101 Hillcrest Lane, Lower Gwynned, PA 19002. The listed phone number is (215) 628-0855.

What is Baldassano Dermatopathology, PC's specialty?

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

Is Baldassano Dermatopathology, PC enrolled in Medicare?

Yes. Baldassano Dermatopathology, PC is registered in the Medicare PECOS enrollment system.

When is Baldassano Dermatopathology, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Baldassano Dermatopathology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Baldassano Dermatopathology, PC, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baldassano Dermatopathology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D1041216) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baldassano Dermatopathology, PC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.