RIVERSIDE DERMATOLOGY LLC NPI 1366400236

NPI Information

  • NPI: 1366400236
  • Provider Name: RIVERSIDE DERMATOLOGY, LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 5649 WYNNEWOOD DR
    SUITE 202
    LAURYS STATION, PA
    ZIP 18059
  • Phone: (610) 261-1115

Map and Directions

Get Directions

NPI Details

RIVERSIDE DERMATOLOGY, LLC is a dermatology in Laurys Station, PA. The provider is 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. RIVERSIDE DERMATOLOGY, LLC NPI is 1366400236. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5649 WYNNEWOOD DR
SUITE 202
LAURYS STATION, PA
ZIP 18059-138
Phone: (610) 261-1115
Fax: (610) 261-9601

The provider's authorized official is Terry Robbins .
The authorized official title is Owner and has the following contact phone number (610) 261-1115.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12288874000OTHERPERSONAL CHOICE
202352200OTHERPENNSYLVANIACAPITAL BLUE CROSS
31611176OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
4501504OTHERAETNA
5P00089866OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.