ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
NPI 1740671767
Dermatology in Philadelphia, PA
About Advanced Dermatology Of Pennsylvania, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC (NPI 1740671767) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since February 2015. The organization holds 5 active CLIA laboratory certificates, maintains 10 additional practice locations, and lists Amy Declue, Director Of Provider Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 10
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Dermatology Of Pennsylvania, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Advanced Dermatology Of Pennsylvania, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 22Philadelphia, PA 19104
Fort Washington, PA 19034
Fort Washington, PA 19034
Ft Washington, PA 19034
Fort Washington, PA 19034
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 5
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 39D2284859
Advanced Dermatology Of Pennsylvania · White Oak, PACertificate of Compliance 39D1048141
Advanced Dermatology Of Pennsylvania · Fort Washington, PACertificate of Waiver 39D2245403
Advanced Dermatology Of Pennsylvania · Flourtown, PACertificate of Compliance 39D0692882
Advanced Dermatology Of Pennsylvania · Beaver, PACertificate of Waiver 39D2284863
Advanced Dermatology Of Pennsylvania · Pittsburgh, PAFrequently 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 Advanced Dermatology Of Pennsylvania, PC's NPI number?
The NPI number for Advanced Dermatology Of Pennsylvania, PC is 1740671767. It was assigned to this organization in the NPPES registry on February 12, 2015.
Where is Advanced Dermatology Of Pennsylvania, PC located?
Advanced Dermatology Of Pennsylvania, PC is located at 525 Jamestown St Suite 206, Philadelphia, PA 19128. The listed phone number is (215) 482-7546.
What is Advanced Dermatology Of Pennsylvania, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology Of Pennsylvania, PC enrolled in Medicare?
Yes. Advanced Dermatology Of Pennsylvania, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology Of Pennsylvania, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of Pennsylvania, PC. 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 (19) and Nurse Practitioner (3). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Dermatology Of Pennsylvania, PC hold CLIA laboratory certificates?
Yes. 5 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 Advanced Dermatology Of Pennsylvania, PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Advanced Dermatology Of Pennsylvania, 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 Advanced Dermatology Of Pennsylvania, PC was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.