{"result_count":1,"results":[{"addresses":[{"address_1":"176 S NEW MIDDLETOWN RD STE 203","address_purpose":"MAILING","address_type":"DOM","city":"MEDIA","country_code":"US","country_name":"United States","fax_number":"610-891-8973","postal_code":"190635255","state":"PA","telephone_number":"610-566-7300"},{"address_1":"176 S NEW MIDDLETOWN RD STE 203","address_purpose":"LOCATION","address_type":"DOM","city":"MEDIA","country_code":"US","country_name":"United States","fax_number":"610-891-8973","postal_code":"19063","state":"PA","telephone_number":"610-566-7300"}],"basic":{"authorized_official_credential":"MD","authorized_official_first_name":"JAMIE","authorized_official_last_name":"ALTMAN","authorized_official_middle_name":"F","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"6105667300","authorized_official_title_or_position":"President","certification_date":"2024-05-13","enumeration_date":"2006-07-02","last_updated":"2024-05-13","organization_name":"AESTHETIC DERMATOLOGY ASSOCIATES, PC","organizational_subpart":"NO","status":"A"},"created_epoch":"1151890043000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"001587218","issuer":"Amerihealth","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"001587218","issuer":"Personal Choice","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"001587218","issuer":"BCBS","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"1587218","issuer":"Highmark","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"209076","issuer":"Coventry HMO and PPO","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"2269675000","issuer":"Amerihealth HMO","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"2269675000","issuer":"Keystone East and 65 Only","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"2269675000","issuer":"IBC","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"3473389","issuer":"Aetna HMO","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"3473389","issuer":"Aet","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"7383842007","issuer":"Cigna","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"7383842007","issuer":"Cigna HMO","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"7593441","issuer":"Aetna","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"P00128279","issuer":"Medicare Railroad","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"P87218","issuer":"Amerihealth Blair Mill","state":null}],"last_updated_epoch":"1715625619000","number":"1003845835","other_names":[{"code":"3","organization_name":"AESTHETIC DERMATOLOGY ASSOCIATES, PC","type":"Doing Business As"}],"practiceLocations":[{"address_1":"4 INDUSTRIAL BLVD STE 200","address_purpose":"LOCATION","address_type":"DOM","city":"PAOLI","country_code":"US","country_name":"United States","fax_number":"610-891-8973","postal_code":"193011605","state":"PA","telephone_number":"610-647-4161"}],"taxonomies":[{"code":"207N00000X","desc":"Dermatology","license":null,"primary":true,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"}]}]}