YARDLEY DERMATOLOGY ASSOCIATES, P.C. (NPI# 1205120599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205120599 |
| Entity Type | Organization |
| Organization Name | YARDLEY DERMATOLOGY ASSOCIATES, P.C. |
| Practice Address |
903 Floral Vale Blvd Yardley PA 19067-5515 |
| Practice Telephone | 2155796155 |
| Practice Fax Number | 2158600723 |
| Mailing Telephone | 2155796155 |
| Mailing Fax Number | 2158600723 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |
| Authorized Official Name | MICHELLE SIBONA (PRACTICE MANAGER) |
| Authorized Official Telephone | 2155796155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians |
| Street Address |
903 FLORAL VALE BLVD |
| City | YARDLEY |
| State | PA |
| Zip Code | 19067-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308932 | Judith Anne Haase Cenci | Specialist | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2005-10-05 |
| 1699019307 | Rachel Francisca Wolfe | Physician Assistant | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2012-11-19 |
| 1134488638 | Roman Bronfenbrener | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2012-05-04 |
| 1053519363 | Priya Batra Dhanaraj | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2007-07-07 |
| 1811195720 | Amy B Matorin | Physician Assistant | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2007-07-03 |
| 1861547531 | Tara Dever Morris | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2007-01-24 |
| 1447326293 | Carmen David Campanelli Jr. | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2006-11-24 |
| 1760422422 | Fern G Fried | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2006-06-08 |
| 1801835426 | Richard G Fried | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2006-06-06 |
| 1821044074 | Yardley Dermatology Associates | Dermatology | 903 Floral Vale Blvd, Yardley, PA 19067-5515 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1558833780 | Bucks Behavioral Healthcare, LLC | Clinic/Center | 81 Big Oak Rd, Suite 102, Morrisville, PA 19067 | 2018-12-28 |
| 1952838690 | Capstone Behavioral Associates Inc. | Psychiatry & Neurology | 33 S Delaware Ave Ste 105, Yardley, PA 19067 | 2017-05-12 |
| 1386187474 | Patient Direct Rx | Pharmacy | 301 Oxford Valley Road, Suite 1203a, Yardley, PA 19067 | 2016-11-22 |
| 1275981011 | K & S Counseling Services, LLC | Community/Behavioral Health | 1790 Yardley-langhorne Road Heston Hall, Suite 107, Yardley, PA 19067 | 2016-06-02 |
| 1164877361 | Vitacom | Dietitian, Registered | 1695 Susan Circle, Yardley, PA 19067 | 2016-04-26 |
| 1316309792 | Lisa Fobian | Counselor | 70-90 W. Afton Avenue, Suite 101, Yardley, PA 19067 | 2016-03-24 |
| 1720474968 | Stephen Vanni | Internal Medicine | 1050 Stony Hill Rd, Yardley, PA 19067 | 2015-04-14 |
| 1376943712 | Lang Massage Services | Massage Therapist | 33 South Delaware Ave.suite #201, Yardley, PA 19067 | 2014-09-03 |
| 1427457068 | Brian Sung Wook Yoon | Acupuncturist | 81 Big Oak Rd Suite 105, Yardley, PA 19067 | 2014-08-20 |
| Find all providers in zip 19067 | ||||
| Taxonomy Code | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871722579 | George Joseph Neumaier | Dermatology | 245 Orchard Rd, Fleetwood, PA 19522-9050 | 2009-07-02 |
| 1427224385 | County of Montgomery Dermatology | Dermatology | 1600 Black Rock Rd, Royersford, PA 19468-3147 | 2008-05-01 |
| 1710068747 | Christian William Oram | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6372 | 2006-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.