MARK ABDELMALEK, MD LLC (NPI# 1932740461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932740461 |
Entity Type | Organization |
Organization Name | MARK ABDELMALEK, MD LLC |
Other Organization Name | MOHS SURGERY CENTER |
Practice Address |
200 N 16th St Ste D Philadelphia PA 19102-1225 |
Practice Telephone | 2153153197 |
Enumeration Date | 2019-10-07 |
Last Update Date | 2020-04-27 |
Authorized Official Name | DR. MARK ABDELMALEK (OWNER) |
Authorized Official Telephone | 2159906788 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians | ||
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Center for Transplant Patients | Doing Business As Name - Organization |
Dermatology of Philadelphia | Doing Business As Name - Organization |
Dermatology of Philadelphia / Mohs Surgery Center | Doing Business As Name - Organization |
Mohs Surgery Center | Doing Business As Name - Organization |
Street Address |
200 N 16TH ST STE D |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102-1225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
Find all providers in zip 19102 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
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. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326240557 | Marc Kevin Rubenzik | Dermatology | 233 S 10th St, Suite 450, Philadelphia, PA 19107-5541 | 2007-06-01 |
1972771129 | Benedetto Dermatology, LLC | Dermatology | 1200 Locust St, Philadelphia, PA 19107-5605 | 2008-02-11 |
1164454237 | Anthony F. Santoro | Dermatology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2006-07-07 |
1538100540 | Ernest A Benedetto | Dermatology | 1200 Locust St, Philadelphia, PA 19107-5605 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
1962802249 | Carlisle Dermatology Group | Dermatology | 19 Sprint Drive, Suite 1, Carlisle, PA 17015-7002 | 2014-08-24 |
1922418516 | Veronica Rutt | Dermatology | 1665 Valley Center Pkwy Ste 120, Bethlehem, PA 18017-2353 | 2014-05-05 |
1003109059 | Amanda Joy Tschetter | Dermatology | 575 Coal Valley Rd Ste 360, Clairton, PA 15025-3739 | 2011-05-24 |
1871893529 | Accurate Dermatology Pa, LLC | Dermatology | 2805 Fringe Lane, Easton, PA 18040 | 2010-10-28 |
1134393028 | Paul Xavier Benedetto | Dermatology | 2221 Garrett Rd, Drexel Hill, PA 19026-1101 | 2008-04-22 |
1558549733 | Keystone Dermatology & Center for Skin Surgery, LLC | Dermatology | 2525 9th Ave Ste 2, Altoona, PA 16602-2014 | 2008-02-10 |
1710174511 | The Skin and Cancer Center | Dermatology | 18 Millridge Dr, Aston, PA 19014-1063 | 2007-09-26 |
1871785683 | Kevin Crouse, Md PC | Dermatology | 250 Pierce St Ste 217, Kingston, PA 18704-5149 | 2007-08-15 |
1629279310 | Dermatology and Mohs Surgery Center PC | Dermatology | 2003 Lower State Rd Bldg 200, Doylestown, PA 18901-2622 | 2007-05-30 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19102 |
Please comment or provide details below to improve the information on MARK ABDELMALEK, MD 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.