Advanced Dermatology of Pennsylvania, PC
NPI 1740671767 · Dermatology Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology of Pennsylvania, PC is a Dermatology Physician organization in Philadelphia, PA (NPI 1740671767).
Provider details
- NPI number
- 1740671767
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Declue, Director of Provider Services(407) 875-2080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
11 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (10)
- 701 5th StBeaver, PA 15009-1964Phone: (724) 774-5255Fax: (724) 774-5686
- 1811 Bethlehem Pike Ste 101Flourtown, PA 19031-1111Phone: (215) 254-7070Fax: (215) 254-7079
- 501 Office Center Dr Ste 190-195Fort Washington, PA 19034-3220Phone: (215) 836-7900Fax: (215) 836-7923
- 631 Airport Rd Ste 100Hazle Township, PA 18202-3379Phone: (570) 454-7546Fax: (570) 455-7547
- 2705 Dekalb Pike Ste 308Norristown, PA 19401-1852Phone: (610) 272-7546Fax: (610) 272-1064
- 1010 Horsham Rd Ste 201North Wales, PA 19454-1500Phone: (215) 362-2385Fax: (215) 361-1584
- 10159 Verree RdPhiladelphia, PA 19116-3613Phone: (215) 677-1155Fax: (215) 677-5424
- 107 Gamma Dr Ste 120Pittsburgh, PA 15238-2917
Registry dates
- Enumerated
- 2015-02-12
- Last updated
- 2018-12-05
Frequently asked questions
- What is Advanced Dermatology of Pennsylvania, PC's NPI number?
- Advanced Dermatology of Pennsylvania, PC's National Provider Identifier (NPI) is 1740671767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of Pennsylvania, PC?
- Advanced Dermatology of Pennsylvania, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology of Pennsylvania, PC located?
- Advanced Dermatology of Pennsylvania, PC's practice location on file with NPPES is 525 Jamestown St, Philadelphia, PA 19128-1751.
- What is Advanced Dermatology of Pennsylvania, PC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of Pennsylvania, PC is (215) 482-7546.
- Does Advanced Dermatology of Pennsylvania, PC accept Medicare?
- Advanced Dermatology of Pennsylvania, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Dermatology of Pennsylvania, PC?
- The authorized official listed on Advanced Dermatology of Pennsylvania, PC's NPPES record is Amy Declue, Director of Provider Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of Pennsylvania, PC's NPI active?
- Yes — Advanced Dermatology of Pennsylvania, PC's NPI (1740671767) is active in the NPPES registry as of the last update on 2018-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.