PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC
NPI 1861501801
Dermatology in Philadelphia, PA

Q: What is Pennsylvania Centre For Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since August 30, 2006

822 PINE ST, SUITE 2A, PHILADELPHIA, PA 19107(267) 519-0154(267) 519-0597 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pennsylvania Centre For Dermatology, Llc NPPES

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

PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC (NPI 1861501801) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Glen H Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1861501801

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC

Location Address822 PINE ST, SUITE 2APhiladelphia, PA 19107-6187

Mailing AddressPo Box 22624Philadelphia, PA 19110-2624 · (267) 519-0154 · Fax (267) 519-0597

Phone(267) 519-0154

Fax(267) 519-0597

Organization SubpartNo

Authorized OfficialGlen H CrawfordPresident · (267) 519-0154

Enumeration DateAugust 30, 2006

Last NPPES UpdateOctober 4, 2011

✔ NPI 1861501801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in PA · MD421221

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.

822 PINE ST, Philadelphia, PA 19107

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Other Identifiers 5

Other2295672000Ibc

Other3679792PA · Aetna

Other1607671PA · Highmark Blue Shield

Medicare PINDF4791PA

Medicare PIN080242PA

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pennsylvania Centre For Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 42 clinicians reassign Medicare billing to Pennsylvania Centre For Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Dermatology20

Nurse Practitioner11

Allergy/Immunology5

Micrographic Dermatologic Surgery (MDS)3

Pathology2

Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 42

Mia Albanese

Nurse Practitioner

NPI 1912690371

822 PINE ST STE 2A
Philadelphia, PA 19107

(267) 519-0154