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ANNE ARUNDEL DERMATOLOGY, P.A.
NPI 1033949755
Specialist in Bel Air, MD

Active since August 06, 2024CLIA 21D2149043 · Microscopy
510 UPPER CHESAPEKE DR PAVILLION III, SUITE 415, BEL AIR, MD 21014(443) 351-3376(443) 787-4389 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2026, Aug 7, 2024 (2 updates tracked since 2024).

About Anne Arundel Dermatology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE ARUNDEL DERMATOLOGY, P.A. (NPI 1033949755) is a healthcare organization registered as a specialist in Bel Air, Maryland and active in the NPI registry since August 2024. The organization holds a CLIA Microscopy certificate valid through May 22, 2028 and lists Angela Ruth Peterman, Md, as its authorized official.

NPPES Registry Identity

NPI1033949755
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANNE ARUNDEL DERMATOLOGY, P.A.
Location Address510 UPPER CHESAPEKE DR PAVILLION III, SUITE 415Bel Air, MD 21014-4336
Mailing AddressPo Box 23329New York, NY 10087-3329
Phone(443) 351-3376
Fax(443) 787-4389
Organization SubpartYes
Authorized OfficialAngela Ruth PetermanMd · (443) 351-3376
Enumeration DateAugust 6, 2024
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1033949755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
510 UPPER CHESAPEKE DR PAVILLION III, Bel Air, MD 21014
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2149043

Anne Arundel Dermatology · Bel Air, MD
Active · expires May 22, 2028
CLIA Number21D2149043
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDavid F. Jaffe
Laboratory Phone(301) 609-2276
Laboratory LocationAnne Arundel Dermatology510 Upper Chesapeake Drive Suite 416, Bel Air, MD 21014
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Arundel Dermatology, P.A.'s NPI number?

The NPI number for Anne Arundel Dermatology, P.A. is 1033949755. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Anne Arundel Dermatology, P.A. located?

Anne Arundel Dermatology, P.A. is located at 510 Upper Chesapeke Dr Pavillion III Suite 415, Bel Air, MD 21014. The listed phone number is (443) 351-3376.

What is Anne Arundel Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Anne Arundel Dermatology, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2149043) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anne Arundel Dermatology, P.A. was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.