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BUCKS COUNTY DERMAESTHETICS LLC
NPI 1558901025
Dermatology - Procedural Dermatology in Langhorne, PA

Active since January 13, 2020
1717 NEWTOWN LANGHORNE RD, SUITE 201, LANGHORNE, PA 19047(415) 802-1310 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2020, Jan 13, 2020 (2 updates tracked since 2020).

About Bucks County Dermaesthetics Llc NPPES

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

BUCKS COUNTY DERMAESTHETICS LLC (NPI 1558901025) is a healthcare organization registered as a procedural dermatology in Langhorne, Pennsylvania and active in the NPI registry since January 2020. The organization lists Ivy Derosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1558901025
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameBUCKS COUNTY DERMAESTHETICS LLC
Location Address1717 NEWTOWN LANGHORNE RD, SUITE 201Langhorne, PA 19047-1091
Mailing Address1717 Newtown Langhorne Rd, Suite 201Langhorne, PA 19047-1091 · (415) 802-1310
Phone(415) 802-1310
Organization SubpartNo
Authorized OfficialIvy DerosaOwner · (415) 802-1310
Enumeration DateJanuary 13, 2020
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1558901025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
1717 NEWTOWN LANGHORNE RD, Langhorne, PA 19047
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bucks County Dermaesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bucks County Dermaesthetics LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ivy Derosa, D.O.
Dermatology
NPI 1083935084
104 PHEASANT RUN SUITE 123
Newtown, PA 18940
(215) 702-8600
✔ PECOS✔ Accepts Medicare1.0 mi
Dominique Jacobs, DO
Dermatology
NPI 1174267504
1 SUMMIT SQUARE CTR STE 201
Langhorne, PA 19047
(215) 987-5665
✔ PECOS2.7 mi

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

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 Bucks County Dermaesthetics LLC's NPI number?

The NPI number for Bucks County Dermaesthetics LLC is 1558901025. It was assigned to this organization in the NPPES registry on January 13, 2020.

Where is Bucks County Dermaesthetics LLC located?

Bucks County Dermaesthetics LLC is located at 1717 Newtown Langhorne Rd Suite 201, Langhorne, PA 19047. The listed phone number is (415) 802-1310.

What is Bucks County Dermaesthetics LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Bucks County Dermaesthetics LLC enrolled in Medicare?

Yes. Bucks County Dermaesthetics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bucks County Dermaesthetics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Bucks County Dermaesthetics LLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bucks County Dermaesthetics LLC was last updated on November 18, 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.