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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: August 02, 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
Phone(215) 482-7546
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

Other Providers at the Same Location NPPES 20

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

HAROLD J. MILSTEIN, M.D., P.C.
Dermatology
525 JAMESTOWN ST, SUITE 206
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-3666
ANDREW LEON PRITCHARD O.D.
Optometrist
525 JAMESTOWN ST, SUITE 207
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-8444
BLOOM EYE ASSOCIATES, LTD.
Ophthalmology
525 JAMESTOWN ST, SUITE 207
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-8444
DR. LARRY M. BOROWSKY MD
Internal Medicine (Gastroenterology)
525 JAMESTOWN ST, SUITE 101
PHILADELPHIA, PA 19128
Philadelphia County (215) 463-1483
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Orthopaedic Surgery
525 JAMESTOWN ST, SUITE 105
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-6693
GARY ALAN BAIOCCHI DO
Family Medicine
525 JAMESTOWN ST, SUITE 201
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-2412
TEMPLE PHYSICIANS INC.
Family Medicine
525 JAMESTOWN ST, SUITE 201
PHILADELPHIA, PA 19128
Philadelphia County (215) 214-2412
UROLOGIC SURGEONS, INC.
Urology
525 JAMESTOWN ST, SUITE 108
PHILADELPHIA, PA 19128
Philadelphia County (215) 247-3082

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.

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.