Advanced Dermatology of Pennsylvania, PC
NPI 1740671767ActiveOrganization· Dermatology· Philadelphia, PA
Dermatology in Philadelphia, Pennsylvania, registered in NPPES in February 2015. The authorized official on file is Amy Declue, Director Of Provider Services. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740671767 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2015 |
| Last updated in NPPES | Dec 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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