Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DERMATOLOGY AND MOHS SURGERY CENTER PLLC
NPI 1629279310
Dermatology - MOHS-Micrographic Surgery in Doylestown, PA

Active since May 30, 2007CLIA Certified · 2 labs
2003 LOWER STATE RD BLDG 200, DOYLESTOWN, PA 18901(215) 345-6647(215) 345-0460 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 23, 2024, Mar 17, 2018, Feb 27, 2018 (3 updates tracked since 2018).

About Dermatology And Mohs Surgery Center Pllc NPPES

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

DERMATOLOGY AND MOHS SURGERY CENTER PLLC (NPI 1629279310) is a healthcare organization registered as a mohs-micrographic surgery in Doylestown, Pennsylvania and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Laura J Hernandez, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1629279310
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY AND MOHS SURGERY CENTER PLLC
Location Address2003 LOWER STATE RD BLDG 200Doylestown, PA 18901-2622
Mailing AddressPo Box 23329New York, NY 10087-3329
Fax(215) 345-0460
Organization SubpartNo
Authorized OfficialLaura J HernandezEnrollment Specialist · (813) 493-5252
Enumeration DateMay 30, 2007
Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1629279310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in PA · MD074439L
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
2003 LOWER STATE RD BLDG 200, Doylestown, PA 18901

Secondary Practice Locations 3

Location 12003 Lower State Rd Unit 310Doylestown, PA 18901-2622 · Phone (215) 345-6647 · Fax (215) 345-7575
Location 2865 Easton Rd Ste 150Warrington, PA 18976-7800 · Phone (215) 343-5900 · Fax (215) 343-5992
Location 3920 Lawn Ave Ste 630Sellersville, PA 18960-1560 · Phone (215) 345-6647 · Fax (267) 354-1292

Accepted Insurance

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)

Dermatology And Mohs Surgery Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20070717000198Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Dermatology And Mohs Surgery Center PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology5
Nurse Practitioner4
Pathology1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1124877287
2003 LOWER STATE RD BLDG 200
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1679735351
2003 LOWER STATE RD BUILDING 200
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1740449297
2003 LOWER STATE RD BLDG 200
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1982843140
2003 LOWER STATE RD BLDG 200
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1801202924
2003 LOWER STATE RD BLDG 200
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts Medicare0.2 mi
Dermatology
NPI 1376802884
2003 LOWER STATE RD BLDG 200
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts Medicare0.2 mi
Dermatology
NPI 1427097427
610 FARM LN
Doylestown, PA 18901
(215) 345-6647
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1194058974
865 EASTON RD STE 150
Warrington, PA 18976
(215) 343-5900
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1386534204
920 LAWN AVE STE 630
Sellersville, PA 18960
(215) 345-6647
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1417921503
920 LAWN AVE STE 6
Sellersville, PA 18960
(267) 354-1440
✔ PECOS✔ Accepts Medicare11 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 2

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 39D2032002

Dermatology And Mohs Surgery Center · Sellersville, PA
Active · expires Mar 22, 2028
CLIA Number39D2032002
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorDr. Robert J. Willard
Laboratory Phone(215) 345-6647
Laboratory LocationDermatology And Mohs Surgery Center920 Lawn Ave Suite 6, Sellersville, PA 18960
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.

Certificate of Compliance 39D1067033

Dermatology And Mohs Surgery Center PC · Doylestown, PA
Active · expires Jul 26, 2027
CLIA Number39D1067033
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorDr. Robert J. Willard
Laboratory Phone(215) 345-6647
Laboratory LocationDermatology And Mohs Surgery Center PC2003 Lower State Road Bldg 200, Doylestown, PA 18901
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 Dermatology And Mohs Surgery Center PLLC's NPI number?

The NPI number for Dermatology And Mohs Surgery Center PLLC is 1629279310. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Dermatology And Mohs Surgery Center PLLC located?

Dermatology And Mohs Surgery Center PLLC is located at 2003 Lower State Rd Bldg 200, Doylestown, PA 18901. The listed phone number is (215) 345-6647.

What is Dermatology And Mohs Surgery Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Dermatology And Mohs Surgery Center PLLC enrolled in Medicare?

Yes. Dermatology And Mohs Surgery Center PLLC is registered in the Medicare PECOS enrollment system.

When is Dermatology And Mohs Surgery Center PLLC'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 March 31, 2027. 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 Dermatology And Mohs Surgery Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Dermatology And Mohs Surgery Center PLLC. 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. The largest specialties are Dermatology (5), Nurse Practitioner (4) and Pathology (1). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology And Mohs Surgery Center PLLC hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Dermatology And Mohs Surgery Center PLLC accept?

Health plans from Medica list Dermatology And Mohs Surgery Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology And Mohs Surgery Center PLLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.