DELAWARE VALLEY DERMATOLOGY GROUP LLC (NPI# 1568602969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568602969 |
| Entity Type | Organization |
| Organization Name | DELAWARE VALLEY DERMATOLOGY GROUP LLC |
| Practice Address |
3411 Silverside Rd Suite 107; Webster Building Wilmington DE 19810-4812 |
| Practice Telephone | 3024788532 |
| Practice Fax Number | 3024788536 |
| Mailing Telephone | 3024754350 |
| Mailing Fax Number | 3024784325 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-04-10 |
| Authorized Official Name | DR. MICHAEL L SARUK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3024784350 |
| Authorized Official Credential | M.D. |
| 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 | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
3411 SILVERSIDE RD SUITE 107; WEBSTER BUILDING |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19810-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998347 | Charlotte Mccafferty Swenson | Psychologist | 3411 Silverside Rd, Weldin Bldg - 109, Wilmington, DE 19810-4812 | 2005-08-09 |
| 1568990828 | Jason Samuel Saul | Physician Assistant | 3411 Silverside Rd, Wilmington, DE 19810-4812 | 2017-05-31 |
| 1356756043 | Jacqueline Scarangella | Speech-Language Pathologist | 3411 Silverside Rd, Springer Building, Suite 105, Wilmington, DE 19810-4812 | 2014-06-22 |
| 1013346030 | Kathleen Forrest | Specialist | 3411 Silverside Rd, Springer Bldg Suite 105, Wilmington, DE 19810-4812 | 2013-11-12 |
| 1700155637 | Rehabilitation Consultants, Inc | Clinic/Center | 3411 Silverside Rd, Springer Building Suite 105, Wilmington, DE 19810-4812 | 2011-12-21 |
| 1891073045 | Rehabilitation Consultants Inc | Clinic/Center | 3411 Silverside Rd, Suite 105, Wilmington, DE 19810-4812 | 2011-07-21 |
| 1649567884 | Lmg Perioperative Medical Consultants, Pa, Inc | Specialist | 3411 Silverside Rd, Webster Bldg, Suite 103, Wilmington, DE 19810-4812 | 2011-07-08 |
| 1316259567 | Karen Lynn O'neill | Physical Therapist | 3411 Silverside Rd, Suite 105, Wilmington, DE 19810-4812 | 2010-07-03 |
| 1063738995 | Brett C Wharton | Chiropractor | 3411 Silverside Rd, Hanby Building Suite 102, Wilmington, DE 19810-4812 | 2010-04-16 |
| 1982920294 | Sidney M Grobman | Internal Medicine | 3411 Silverside Rd, Suite 102, Weldin Bldg, Wilmington, DE 19810-4812 | 2010-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916710 | Sk Chiropractic | Chiropractor | 3411 Silverside Road., Weldin Building. Suite 106, Wilmington, DE 19810 | 2019-01-18 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1073866265 | Julie Ann Donahue | Counselor | 7 Pinecrest Dr, Wilmington, DE 19810 | 2012-10-25 |
| 1245588227 | Megan Mckinney Watts | Physical Therapist | 6411 Silverside Road, Springer Building, Suite 105, Wilmington, DE 19810 | 2012-08-22 |
| 1316236094 | Anthony J Franzosa IIi | Pharmacist | 1718 Marsh Rd, Wilmington, DE 19810 | 2011-04-01 |
| 1831347202 | Felix John Boffa | Anesthesiology | 2413 Oakmere Rd, Wilmington, DE 19810 | 2008-08-28 |
| 1881818227 | Kuhwald Contact Lens Co Inc | Durable Medical Equipment & Medical Supplies | 2006 Foulk Road, Suite A, Wilmington, DE 19810 | 2007-04-13 |
| 1528187747 | Vincent Emanuel Paolicelli Jr. | Chiropractor | Hanby Building Ste 102 3411 Silverside Rd, Wilmington, DE 19810 | 2007-03-28 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| 1407998040 | Constantine Azarcon | Psychiatry & Neurology | 3411 Silverside Road, Rodney Building Suite 107, Wilmington, DE 19810 | 2007-02-12 |
| Find all providers in zip 19810 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| 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 |
|---|---|---|---|---|
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1063682078 | Patricia Richards | Dermatology | Wilmington Vamc, 1601 Kirkwood Highway, Wilmington, DE 19805 | 2008-03-05 |
| 1023286861 | Tracy A Novosel | Dermatology | 6781 Parker Farm Dr Ste 300, Wilmington, NC 28405 | 2008-02-14 |
| 1821170945 | Billie Forehand Cosgrove | Dermatology | 1814 Glen Meade Rd, Wilmington, NC 28403-6023 | 2006-10-19 |
| 1699785451 | Eric J Oliet | Dermatology | 800 Delaware Avenue, Wilmington, DE 19801-1322 | 2006-08-08 |
| 1508886821 | Heather Aimee Loesch | Dermatology | 2504 Delaney Avenue, Wilmington, NC 28403-6002 | 2006-07-20 |
| 1962437459 | Maurice A.thew M.d., P.a. | Dermatology | 19 The Commons, 3516 Silverside Road, Wilmington, DE 19810-4932 | 2006-07-12 |
| 1780619270 | Maurice A Thew | Dermatology | 3516 Silverside Rd, Wilmington, DE 19810-4932 | 2006-07-12 |
| 1467494955 | Catherine Healy Kassens | Dermatology | 1984 S 16th St, Suite 1, Wilmington, NC 28401-6647 | 2006-06-11 |
| 1134187594 | Jonathan Stuart Crane | Dermatology | 1099 Medical Center Dr Ste 201, Wilmington, NC 28401-7346 | 2006-05-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19810 |
Please comment or provide details below to improve the information on DELAWARE VALLEY DERMATOLOGY GROUP LLC.
| 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.