INTEGRATED DERMATOLOGY OF MASS AVE, LLC – NPI #1417450883
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

INTEGRATED DERMATOLOGY OF MASS AVE, LLC is a dermatologist located in WASHINGTON, DC. NPPES has assigned the NPI number 1417450883 to INTEGRATED DERMATOLOGY OF MASS AVE, LLC on March 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 8 years ago on May 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATED DERMATOLOGY OF MASS AVE, LLC below.

NPI Profile for
INTEGRATED DERMATOLOGY OF MASS AVE, LLC

NPI Number
1417450883
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED DERMATOLOGY OF MASS AVE, LLC
Primary location
4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON, DC 20016-4382
Phone: (202) 695-1000 Fax: (202) 503-1791
Mailing address
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone: (561) 314-2000 Fax: (561) 431-2821
Organization Subpart
No
Authorized Official
ADAM PLOTKIN
AUTHORIZED OFFICIAL
Phone: (561) 314-2000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.