ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
NPI 1740671767
Dermatology in Philadelphia, PA

Active since February 12, 2015CLIA Certified · 5 labs
525 JAMESTOWN ST, SUITE 206, PHILADELPHIA, PA 19128(215) 482-7546 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1740671767
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
Location Address525 JAMESTOWN ST, SUITE 206Philadelphia, PA 19128-1751
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Organization SubpartNo
Authorized OfficialAmy DeclueDirector Of Provider Services · (407) 875-2080
Enumeration DateFebruary 12, 2015
Last NPPES UpdateDecember 5, 2018
✔ NPI 1740671767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
525 JAMESTOWN ST, Philadelphia, PA 19128

Secondary Practice Locations 10

Location 1631 Airport Rd Ste 100Hazle Township, PA 18202-3379 · Phone (570) 454-7546 · Fax (570) 455-7547
Location 22705 Dekalb Pike Ste 308Norristown, PA 19401-1852 · Phone (610) 272-7546 · Fax (610) 272-1064
Location 31811 Bethlehem Pike Ste 101Flourtown, PA 19031-1111 · Phone (215) 254-7070 · Fax (215) 254-7079
Location 4501 Office Center Dr Ste 190-195Fort Washington, PA 19034-3220 · Phone (215) 836-7900 · Fax (215) 836-7923
Location 51010 Horsham Rd Ste 201North Wales, PA 19454-1500 · Phone (215) 362-2385 · Fax (215) 361-1584
Location 6701 5th StBeaver, PA 15009-1964 · Phone (724) 774-5255 · Fax (724) 774-5686
Location 7107 Gamma Dr Ste 120Pittsburgh, PA 15238-2917 · Phone (412) 782-2302 · Fax (412) 782-6381
Location 810159 Verree RdPhiladelphia, PA 19116-3613 · Phone (215) 677-1155 · Fax (215) 677-5424
Location 9500 N Lewis Run Rd Ste 217West Mifflin, PA 15122-3070 · Phone (412) 466-3215 · Fax (412) 466-3218
Location 101220 Lincoln Way Ste 101White Oak, PA 15131-1642 · Phone (412) 678-8806 · Fax (412) 678-3780

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

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

22

Medicare 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

Dermatology19
Nurse Practitioner3

Nearest to this location (20)

See all 22
Dermatology
NPI 1083684344
525 JAMESTOWN ST STE 206
Philadelphia, PA 19128
(215) 482-7546
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487468237
1707 WEST SEYBERT STREET
Philadelphia, PA 19121
(570) 590-7088
✔ PECOS4.4 mi
Nurse Practitioner
NPI 1912498767
1107 BETHLEHEM PIKE STE 103
Flourtown, PA 19031
(152) 547-0702
✔ PECOS✔ Accepts Medicare4.9 mi
Dermatology
NPI 1255644365
3400 SPRUCE STREET 2 MALONEY BUILDING
Philadelphia, PA 19104
(215) 662-2737
✔ PECOS✔ Accepts Medicare5.5 mi
Dermatology
NPI 1538510508
333 COTTMAN AVE
Philadelphia, PA 19111
(215) 728-2191
✔ PECOS✔ Accepts Medicare6.7 mi
Dermatology
NPI 1184891871
501 OFFICE CENTER DR STE 190-195
Fort Washington, PA 19034
(215) 836-7900
✔ PECOS✔ Accepts Medicare8.1 mi
Dermatology
NPI 1588618425
501 OFFICE CENTER DRIVE SUITE 195
Fort Washington, PA 19034
(215) 710-3021
✔ PECOS✔ Accepts Medicare8.1 mi
Dermatology
NPI 1548766124
501 OFFICE CENTER DR STE 190-195
Ft Washington, PA 19034
(215) 836-7900
✔ PECOS✔ Accepts Medicare8.1 mi
Dermatology
NPI 1578770251
501 OFFICE CENTER DR SUITE 195
Fort Washington, PA 19034
(215) 836-7900
✔ PECOS✔ Accepts Medicare8.1 mi
Dermatology
NPI 1962997262
945 CHESTERBROOK BLVD
Chesterbrook, PA 19087
(610) 596-8249
✔ PECOS✔ Accepts Medicare14 mi
Dermatology
NPI 1043770183
176 S NEW MIDDLETOWN RD STE 203
Media, PA 19063
(610) 566-7300
✔ PECOS✔ Accepts Medicare14 mi
Dermatology
NPI 1467913384
1935 EASTCHESTER RD APT 15E
Bronx, NY 10461
(717) 425-4092
✔ PECOS✔ Accepts Medicare92 mi
Dermatology
NPI 1063807980
4660 KENMORE AVE STE 1100
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts Medicare131 mi
Dermatology
NPI 1699398040
25 COLONY BLVD STE 103
Blairsville, PA 15717
(724) 465-2676
✔ PECOS✔ Accepts Medicare213 mi
Dermatology
NPI 1811998875
1220 LINCOLN WAY SUITE 101
White Oak, PA 15131
(412) 678-8806
✔ PECOS✔ Accepts Medicare245 mi
Dermatology
NPI 1750624839
107 GAMMA DR STE 120
Pittsburgh, PA 15238
(412) 782-2302
✔ PECOS✔ Accepts Medicare248 mi
Nurse Practitioner
NPI 1912033994
107 GAMMA DR STE 120
Pittsburgh, PA 15238
(724) 541-5839
✔ PECOS✔ Accepts Medicare248 mi
Dermatology
NPI 1982014148
3705 5TH AVE
Pittsburgh, PA 15213
(412) 647-4200
✔ PECOS✔ Accepts Medicare253 mi
Dermatology
NPI 1073047569
801 N ORANGE AVE STE 520
Orlando, FL 32801
(407) 992-0660
✔ PECOS✔ Accepts Medicare865 mi
Dermatology
NPI 1902224553
1035 S STATE ROAD 7 STE 122
Wellington, FL 33414
(650) 353-6377
✔ PECOS✔ Accepts Medicare958 mi
See all 22 clinicians

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, PA
Active · expires Jun 30, 2028
CLIA Number39D2284859
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDr. Timothy Makkar
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Pennsylvania1220 Lincoln Way, Suite 101, White Oak, PA 15131
CLIA data matches this NPI record on: Address Name
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 39D1048141

Advanced Dermatology Of Pennsylvania · Fort Washington, PA
Active · expires Feb 13, 2028
CLIA Number39D1048141
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorDr. Andrew L. Kaplan
Laboratory Phone(215) 710-3021
Laboratory LocationAdvanced Dermatology Of Pennsylvania501 Office Center Drive Suite 195, Fort Washington, PA 19034
CLIA data matches this NPI record on: Name
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 Waiver 39D2245403

Advanced Dermatology Of Pennsylvania · Flourtown, PA
Active · expires Dec 12, 2027
CLIA Number39D2245403
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorDr. Laurel R. Schwartz
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Pennsylvania1107 Bethlehem Pike, Suite 210, Flourtown, PA 19031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 39D0692882

Advanced Dermatology Of Pennsylvania · Beaver, PA
Active · expires Oct 17, 2027
CLIA Number39D0692882
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorDr. Sebastian Demarco
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Pennsylvania350 3rd Street, Beaver, PA 15009
CLIA data matches this NPI record on: Name
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 Waiver 39D2284863

Advanced Dermatology Of Pennsylvania · Pittsburgh, PA
Active · expires Jun 28, 2027
CLIA Number39D2284863
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDr. Lawrence M. Stokar
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Pennsylvania500 N Lewis Run Road, Suite 217, Pittsburgh, PA 15122
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.