CONNOLLY DERMATOLOGY PHILADELPHIA LLC
NPI 1659976082
Dermatology in Philadelphia, PA
About Connolly Dermatology Philadelphia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNOLLY DERMATOLOGY PHILADELPHIA LLC (NPI 1659976082) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since December 2020. The organization lists Coyle S Connolly, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connolly Dermatology Philadelphia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Connolly Dermatology Philadelphia LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Connolly Dermatology Philadelphia LLC's NPI number?
The NPI number for Connolly Dermatology Philadelphia LLC is 1659976082. It was assigned to this organization in the NPPES registry on December 3, 2020.
Where is Connolly Dermatology Philadelphia LLC located?
Connolly Dermatology Philadelphia LLC is located at 2418 E York St, Philadelphia, PA 19125. The listed phone number is (609) 926-8899.
What is Connolly Dermatology Philadelphia LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Connolly Dermatology Philadelphia LLC enrolled in Medicare?
Yes. Connolly Dermatology Philadelphia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Connolly Dermatology Philadelphia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Connolly Dermatology Philadelphia 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. The largest specialties are Nurse Practitioner (4) and Dermatology (1). Of these, 1 practice at this address and 3 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 Connolly Dermatology Philadelphia LLC was last updated on December 3, 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.