Benedetto Dermatology, LLC
NPI 1972771129 · MOHS-Micrographic Surgery Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benedetto Dermatology, LLC is a MOHS-Micrographic Surgery Physician organization in Philadelphia, PA (NPI 1972771129).
Provider details
- NPI number
- 1972771129
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Benedetto, Medical Director(215) 546-3666
- License
- 207ND0101X (PA)
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
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2008-02-11
- Last updated
- 2014-12-16
Frequently asked questions
- What is Benedetto Dermatology, LLC's NPI number?
- Benedetto Dermatology, LLC's National Provider Identifier (NPI) is 1972771129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Benedetto Dermatology, LLC?
- Benedetto Dermatology, LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Benedetto Dermatology, LLC located?
- Benedetto Dermatology, LLC's practice location on file with NPPES is 1200 Locust St, Philadelphia, PA 19107-5605.
- What is Benedetto Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Benedetto Dermatology, LLC is (215) 546-3666.
- Does Benedetto Dermatology, LLC accept Medicare?
- Benedetto Dermatology, LLC 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 Benedetto Dermatology, LLC?
- The authorized official listed on Benedetto Dermatology, LLC's NPPES record is Anthony Benedetto, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Benedetto Dermatology, LLC's NPI active?
- Yes — Benedetto Dermatology, LLC's NPI (1972771129) is active in the NPPES registry as of the last update on 2014-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.