CENTER FOR DERMATOLOGY, LASER AND COSMETIC SURGERY LLC
NPI 1942340542
Dermatology in Philadelphia, PA

Q: What is Center For Dermatology, Laser And Cosmetic Surgery LLC's specialty?

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

Active since February 06, 2007CLIA Certified · 2 labs

9892 BUSTLETON AVE, SUITE 204, PHILADELPHIA, PA 19115(215) 676-2464(215) 676-5536 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Center For Dermatology, Laser And Cosmetic Surgery Llc NPPES

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

CENTER FOR DERMATOLOGY, LASER AND COSMETIC SURGERY LLC (NPI 1942340542) is a healthcare organization registered as a dermatology in Philadelphia, Pennsylvania and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Harold Farber, Owner, as its authorized official.

NPPES Registry Identity

NPI1942340542

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameCENTER FOR DERMATOLOGY, LASER AND COSMETIC SURGERY LLC

Location Address9892 BUSTLETON AVE, SUITE 204Philadelphia, PA 19115-2184

Mailing Address822 Montgomery Ave, Suite 100Narberth, PA 19072-1937 · (610) 664-4433 · Fax (610) 664-5290

Phone(215) 676-2464

Fax(215) 676-5536

Organization SubpartNo

Authorized OfficialHarold FarberOwner · (215) 676-2464

Enumeration DateFebruary 6, 2007

Last NPPES UpdateFebruary 11, 2013

✔ NPI 1942340542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in PA · MD032429E

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.

9892 BUSTLETON AVE, Philadelphia, PA 19115

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Other Identifiers 5

Other095922PA · Medicare Ptan

OtherCE1764878PA · Blue Shield

Other2430802000PA · Independence Blue Cross

Medicaid101436700001PA

Medicare PIN095922PA

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)

Center For Dermatology, Laser And Cosmetic Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Center For Dermatology, Laser And Cosmetic Surgery LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Harold Farber, M.D,

Dermatology

NPI 1194833590

9892 BUSTLETON AVENUE STE 204 MOSS PLAZA
Philadelphia, PA 19115

(215) 676-2464

✔ PECOS✔ Accepts MedicareSame address

Carl Manstein, MD

Plastic and Reconstructive Surgery

NPI 1861441644

821 HUNTINGDON PIKE SUITE 120
Huntingdon Valley, PA 19006

(215) 379-5700

✔ PECOS✔ Accepts Medicare3.3 mi

Leila Driansky, MD

Dermatology

NPI 1275063794

3401 N BROAD ST
Philadelphia, PA 19140

(215) 707-2000

✔ PECOS✔ Accepts Medicare9.0 mi

Marisa Baldassano, M.D.

Pathology

NPI 1013965011

101 HILLCREST LANE
Lower Gwynedd, PA 19002

(215) 628-0855

✔ PECOS✔ Accepts Medicare14 mi

Yongming Li, MD, PHD, AC

Pathology

NPI 1124141478

GREEN KNOLL PROFESSIONAL PARK 720 ROUTE 202-206 NORTH STE 1C
Bridgewater, NJ 08807

(908) 203-0471

✔ PECOS✔ Accepts Medicare41 mi

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 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 Waiver 39D1002463

Center For Dermatology Laser & Cosmetic Surgery · Philadelphia, PA

Active · expires Aug 6, 2028

CLIA Number39D1002463

Laboratory TypePhysician Office

Certificate Effective DateAugust 7, 2026

Certificate Expiration DateAugust 6, 2028

Laboratory DirectorHarold F. Farber MD

Laboratory Phone(215) 676-2464

Laboratory LocationCenter For Dermatology Laser & Cosmetic Surgery204 Moss Plaza 9892 Bustleton Avenue, Philadelphia, PA 19115

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 39D0194700

Center For Dermatology Laser & Cosmetic Surgery · Narberth, PA

Active · expires Apr 20, 2027

CLIA Number39D0194700

Laboratory TypePhysician Office

Certificate Effective DateApril 21, 2025

Certificate Expiration DateApril 20, 2027

Laboratory DirectorDr. Harold F. Farber

Laboratory Phone(610) 664-4433

Laboratory LocationCenter For Dermatology Laser & Cosmetic Surgery915 Montgomery Ave, Suite 204, Narberth, PA 19072

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Center For Dermatology, Laser And Cosmetic Surgery LLC's NPI number?

The NPI number for Center For Dermatology, Laser And Cosmetic Surgery LLC is 1942340542. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Center For Dermatology, Laser And Cosmetic Surgery LLC located?

Center For Dermatology, Laser And Cosmetic Surgery LLC is located at 9892 Bustleton Ave Suite 204, Philadelphia, PA 19115. The listed phone number is (215) 676-2464.

What is Center For Dermatology, Laser And Cosmetic Surgery LLC's specialty?

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

Is Center For Dermatology, Laser And Cosmetic Surgery LLC enrolled in Medicare?

Yes. Center For Dermatology, Laser And Cosmetic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Dermatology, Laser And Cosmetic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Center For Dermatology, Laser And Cosmetic Surgery LLC, in Dermatology, Pathology and Plastic and Reconstructive Surgery. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Center For Dermatology, Laser And Cosmetic Surgery 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 Center For Dermatology, Laser And Cosmetic Surgery LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Center For Dermatology, Laser And Cosmetic Surgery 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 Center For Dermatology, Laser And Cosmetic Surgery LLC was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.