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Deactivated NPI 1922064021 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Johann Koblenzer , MD

Dermatology • Moorestown, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Koblenzer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2006
NPI Deactivation Date April 29, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Koblenzer, MD was a registered Dermatology practicing in Moorestown, NJ. Throughout an active medical career spanning 13 years, Dr. Koblenzer provided care at the practice location at 303 CHESTER AVE until profile deactivation on 2019-04-29.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, biopsy of single growth of skin and/or tissue. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

303 Chester Ave

Moorestown, NJ 080572525

Telephone 8562351178
Fax 8567229244
Associated Practice Facility / Clinic
🏢 Dermatology Associates, Pa Facility NPI 1932166774

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Moorestown, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Moorestown, NJ (444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
419 239 $100.48 $75.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
98 98 $151.50 $111.13
11100 Biopsy of single growth of skin and/or tissue
95 79 $195.79 $105.68
17000 Destruction of skin growth
19 17 $106.00 $70.11
11101 Biopsy of each additional growth of skin and/or tissue
14 14 $100.00 $34.07

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NJ MA20461

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1588621320

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2019

Record deactivated on April 29, 2019

NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 26, 2014

Registered at 303 CHESTER AVE, MOORESTOWN, NJ 080572525 (Tel: 8562351178)

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Updated Business Mailing Address February 26, 2014

Registered at 303 CHESTER AVE, MOORESTOWN, NJ 080572525 (Tel: 8562351178)

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Provider Name / Credentials Updated February 26, 2014

Recorded as PETER KOBLENZER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Dermatology (License #MA20461 in NJ)

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Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922064021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: February 26, 2014
Deactivation Date: April 29, 2019

Mailing Address

303 Chester Ave

Moorestown, NJ 080572525

Phone: 8562351178

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.