FAMILY DERMATOLOGY OF THE LEHIGH VALLEY PC
NPI 1669444139
Dermatology in Schnecksville, PA

NPI Status: Active since February 07, 2006

Contact Information

4110 INDEPENDENCE DR
STE 300
SCHNECKSVILLE, PA
ZIP 18078
Phone: (610) 769-4200
Fax: (610) 769-4204

Get Directions Reviews

  • Organization
  • Dermatology
  • CLIA Number: 39D1022482
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-27-2026

About FAMILY DERMATOLOGY OF THE LEHIGH VALLEY PC

This page provides the complete NPI Profile along with additional information for Family Dermatology Of The Lehigh Valley Pc, a provider established in Schnecksville, Pennsylvania operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1669444139 assigned on February 2006. The practitioner's primary taxonomy code is 207N00000X with license number MD031979E (PA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Family Dermatology Of The Lehigh Valley Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Susan Jean Kucirka Md (Owner)

NPI
1669444139
Provider Name
FAMILY DERMATOLOGY OF THE LEHIGH VALLEY PC
Entity Type
Organization
Location Address
4110 INDEPENDENCE DR STE 300 SCHNECKSVILLE, PA 18078
Location Phone
(610) 769-4200
Location Fax
(610) 769-4204
Mailing Address
4110 INDEPENDENCE DR STE 300 SCHNECKSVILLE, PA 18078
Mailing Phone
(610) 769-4200
Mailing Fax
(610) 769-4204
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2006
Last Update Date
03-18-2013
Code Navigator

A dermatologist like Family Dermatology Of The Lehigh Valley Pc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD031979E
License State
PA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN JEAN KUCIRKA MD

Authorized Official Title
OWNER
Authorized Official Phone
(610) 769-4200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
076475MEDICARE ID-TYPE UNSPECIFIED (04)PA 
1580638OTHER (01)PABLUE SHIELD
50029439OTHER (01)PABLUE CROSS
B40047MEDICARE UPIN (02) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D1022482
Facility Type
Physician Office
Certificate Effective Date
February 28, 2024
Certificate Expiration Date
February 27, 2026
Laboratory Director
DR. NEKTARIOS I. LOUNTZIS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Family Dermatology Of The Lehigh Valley Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for FAMILY DERMATOLOGY OF THE LEHIGH VALLEY PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669444139
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612984816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 4 + 8 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669444139 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124369657DR. DANIEL LEE KLINGER O.D.
Individual
Optometrist4110 INDEPENDENCE DR
SCHNECKSVILLE, PA 18078
(610) 769-4000
1144590688 APRIL LYNN SMITH PA-C
Individual
Physician Assistant (Medical)4110 INDEPENDENCE DR SUITE 300
SCHNECKSVILLE, PA 18078
(610) 769-4200
1598731028 KIMBERLY ANN TACCONI PAC
Individual
Physician Assistant4110 INDEPENDENCE DR STE 300
SCHNECKSVILLE, PA 18078
(610) 769-4200
1508923087LE GRAND ASSOCIATES INC
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)4110 INDEPENDENCE DR SUITE #400
SCHNECKSVILLE, PA 18078
(610) 769-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669444139, enumerated in the NPI registry as an "organization" on February 07, 2006

The provider is located at 4110 Independence Dr Ste 300 Schnecksville, Pa 18078 and the phone number is (610) 769-4200

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 39D1022482 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.