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MOHS SURGERY CENTER
NPI 1932740461
Dermatology - MOHS-Micrographic Surgery in Philadelphia, PA

Active since October 07, 2019CLIA Certified · 2 labs
200 N 16TH ST STE D, PHILADELPHIA, PA 19102(215) 315-3197 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2021, Oct 7, 2019 (2 updates tracked since 2019).

About Mohs Surgery Center NPPES

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

MOHS SURGERY CENTER (NPI 1932740461) is a healthcare organization registered as a mohs-micrographic surgery in Philadelphia, Pennsylvania and active in the NPI registry since October 2019. The organization holds 2 active CLIA laboratory certificates and lists Mark Abdelmalek, Owner, as its authorized official.

NPPES Registry Identity

NPI1932740461
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER, LLC
Location Address200 N 16TH ST STE DPhiladelphia, PA 19102-1225
Mailing Address200 N 16th St Ste DPhiladelphia, PA 19102-1225
Phone(215) 315-3197
Organization SubpartNo
Authorized OfficialMark AbdelmalekOwner · (215) 990-6788
Enumeration DateOctober 7, 2019
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1932740461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
200 N 16TH ST STE D, Philadelphia, PA 19102
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Other Names 4

Doing Business AsMohs Surgery Center
Doing Business AsCenter For Transplant Patients
Doing Business AsDermatology Of Philadelphia
Doing Business AsDermatology Of Philadelphia / Mohs Surgery Center

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 MULTIPLE 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 2

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 39D2193836

Dermatology Of Phila/Mohs Surgery Center, LLC · Philadelphia, PA
Active · expires Jan 18, 2027
CLIA Number39D2193836
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorDr. Mark A. Abdelmalek
Laboratory Phone(215) 315-3197
Laboratory LocationDermatology Of Phila/Mohs Surgery Center, LLC200 N 16th St, Suite D, Philadelphia, PA 19102
CLIA data matches this NPI record on: Address Name Phone
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 31D2270340

Dermatology Of Philadelphia Mohs Surgery Center, LLC · Marlton, NJ
Active · expires Aug 26, 2026
CLIA Number31D2270340
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorMark Abdelmalek
Laboratory Phone(215) 315-3197
Laboratory LocationDermatology Of Philadelphia Mohs Surgery Center, LLC525 Route 73 South Ste 302-303, Marlton, NJ 08053
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

TRISHA SUJAYA DASGUPTA M.D.
Dermatology
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Philadelphia County (215) 315-3197
JARYD FREEDMAN MD
Dermatology
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Philadelphia County (215) 315-3197
DR. SHOSHANA GROSSMAN M.D.
Dermatology
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Philadelphia County (215) 315-3197
JULIANNA NICOLE DAVIS PA-C
Physician Assistant (Medical)
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Philadelphia County (215) 315-3197
DR. MARK ABDELMALEK M.D.
Dermatology (MOHS-Micrographic Surgery)
200 N 16TH ST STE D
PHILADELPHIA, PA 19102
Philadelphia County (215) 315-3197

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 Dermatology Of Philadelphia / Mohs Surgery Center, LLC's NPI number?

The NPI number for Dermatology Of Philadelphia / Mohs Surgery Center, LLC is 1932740461. It was assigned to this organization in the NPPES registry on October 7, 2019. The provider is doing business as Mohs Surgery Center, Center for Transplant Patients, Dermatology of Philadelphia and Dermatology of Philadelphia / Mohs Surgery Center.

Where is Dermatology Of Philadelphia / Mohs Surgery Center, LLC located?

Dermatology Of Philadelphia / Mohs Surgery Center, LLC is located at 200 N 16th St Ste D, Philadelphia, PA 19102. The listed phone number is (215) 315-3197.

What is Dermatology Of Philadelphia / Mohs Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Dermatology Of Philadelphia / Mohs Surgery Center, LLC hold CLIA laboratory certificates?

Yes. 2 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 Dermatology Of Philadelphia / Mohs Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Dermatology Of Philadelphia / Mohs Surgery Center, LLC 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 Dermatology Of Philadelphia / Mohs Surgery Center, LLC was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.