Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Villasenor-Park, MD

Individual provider Dermatology Physician · NPI 1053547851

Jennifer Villasenor-Park, MD is a Dermatology in Philadelphia, Pennsylvania. Graduated from Harvard Medical School in 2009, 17 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Harvard Medical School
Licensed in
PA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Blvd 1-330S Perelman Ctr
Philadelphia, PA 19104-5127
Phone: (215) 662-2737
Fax: (215) 615-3424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Spruce St, Philadelphia, PA 19104-4238 — (215) 662-2737

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD450451 (PA)

Record details

NPI number1053547851
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2009
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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