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DERMATOLOGY AND MOHS SURGERY CENTER PC
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: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About Dermatology And Mohs Surgery Center Pc NPPES

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

DERMATOLOGY AND MOHS SURGERY CENTER PC (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 and lists Angela Ruth Peterman, Md, as its authorized official.

NPPES Registry Identity

NPI1629279310
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY AND MOHS SURGERY CENTER PC
Location Address2003 LOWER STATE RD BLDG 200Doylestown, PA 18901-2622
Mailing Address1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Phone(215) 345-6647
Fax(215) 345-0460
Organization SubpartNo
Authorized OfficialAngela Ruth PetermanMd · (443) 351-3376
Enumeration DateMay 30, 2007
Last NPPES UpdateApril 23, 20243 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1629279310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2003 LOWER STATE RD BLDG 200, Doylestown, PA 18901
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 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.

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: 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.

Other Providers at the Same Location NPPES 5

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

BRETT MILLER
Dermatology (MOHS-Micrographic Surgery)
2003 LOWER STATE RD BLDG 200
DOYLESTOWN, PA 18901
Bucks County (215) 345-6647
JEFFREY ALBERT KUSHNER D.O.
Dermatology
2003 LOWER STATE RD BLDG 200
DOYLESTOWN, PA 18901
Bucks County (215) 345-6647
KAYLA MARIE LAPP NP
Nurse Practitioner
2003 LOWER STATE RD BLDG 200
DOYLESTOWN, PA 18901
Bucks County (215) 345-6647
DR. STEPHEN EDWARD MERCER MD PHD
Pathology (Anatomic Pathology)
2003 LOWER STATE RD BLDG 200
DOYLESTOWN, PA 18901
Bucks County (215) 345-6647
MAYA LOUISE PONTE M.D.
Dermatology
2003 LOWER STATE RD BLDG 200
DOYLESTOWN, PA 18901
Bucks County (215) 345-6647

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 PC's NPI number?

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

Where is Dermatology And Mohs Surgery Center PC located?

Dermatology And Mohs Surgery Center PC 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 PC's specialty?

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

Does Dermatology And Mohs Surgery Center PC 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 PC accept?

Health plans from Medica list Dermatology And Mohs Surgery Center PC 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 PC was last updated on April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.