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Pine Street Dermatology, PC

Dermatology Physician in Philadelphia, PA · enumerated 2006 · authorized official Seana Covello, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396822870

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Street Dermatology, PC
Practice address 1233 Locust St., Suite 101, Philadelphia, PA, 19107
Fax (215) 735-2634
Enumeration date Nov 1, 2006
Last updated in NPPES May 11, 2012

Taxonomy & classification

174400000X Specialist Other Service Providers · License MD067435L (PA) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License MD067435L (PA) Primary

Authorized official

Name Seana Covello
Title President

Other identifiers

Identifier Type State Issuer
2146941000 Other PA IBC
1458723 Other PA HIGHMARK BLUE SHIELD
3150557 Other PA AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pine Street Dermatology, PC?
The NPI for Pine Street Dermatology, PC is 1396822870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pine Street Dermatology, PC?
NPPES lists Seana Covello (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-11.