CRYSTAL ST. FORT NP
NPI 1871341073
Dermatology - Procedural Dermatology in Philadelphia, PA

Q: What is Crystal St. Fort's NPI number?

The NPI number for Crystal St. Fort is 1871341073. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Q: What is Crystal St. Fort's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: When was this NPI record last updated?

The NPPES record for Crystal St. Fort was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2024

142 S 60TH ST UNIT A, PHILADELPHIA, PA 19139(215) 495-5846 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Crystal St. Fort Np NPPES

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

CRYSTAL ST. FORT NP (NPI 1871341073) is an individual procedural dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029428) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1871341073

Entity TypeIndividualFemale

Primary Taxonomy207NS0135X

Provider Legal NameCRYSTAL ST. FORTCredential: NP

Location Address142 S 60TH ST UNIT APhiladelphia, PA 19139-3038

Mailing Address142 S 60th St Unit APhiladelphia, PA 19139-3038 · (215) 495-5846

Phone(215) 495-5846

Sole ProprietorYes

Enumeration DateMay 11, 2024

NPPES CertifiedMay 11, 2024

✔ NPI 1871341073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in PA · SP029428

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

142 S 60TH ST UNIT A, Philadelphia, PA 19139

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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

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 Crystal St. Fort's NPI number?

The NPI number for Crystal St. Fort is 1871341073. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Crystal St. Fort located?

Crystal St. Fort practices at 142 S 60th St Unit A, Philadelphia, PA 19139. The listed phone number is (215) 495-5846.

What is Crystal St. Fort's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Crystal St. Fort was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.