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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNE ARUNDEL DERMATOLOGY, LLC
NPI 1063481703
Dermatology in Annapolis, MD

Active since March 15, 2006CLIA Certified · 15 labs
2002 MEDICAL PKWY STE 630, ANNAPOLIS, MD 21401(410) 224-2260(410) 224-3090 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, Mar 21, 2025, Aug 6, 2024 and 3 more (6 updates tracked since 2018).

About Anne Arundel Dermatology, Llc NPPES

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

ANNE ARUNDEL DERMATOLOGY, LLC (NPI 1063481703) is a healthcare organization registered as a dermatology in Annapolis, Maryland and active in the NPI registry since March 2006. The organization holds 15 active CLIA laboratory certificates, maintains 42 additional practice locations, and lists Laura Hernandez, Wnrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1063481703
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANNE ARUNDEL DERMATOLOGY, LLC
Location Address2002 MEDICAL PKWY STE 630Annapolis, MD 21401-3059
Mailing AddressPo Box 23329New York, NY 10087-3329 · (410) 873-8500 · Fax (404) 301-9057
Phone(410) 224-2260
Fax(410) 224-3090
Organization SubpartNo
Authorized OfficialLaura HernandezWnrollment Specialist · (813) 493-5252
Enumeration DateMarch 15, 2006
Last NPPES UpdateOctober 23, 20266 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1063481703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
2002 MEDICAL PKWY STE 630, Annapolis, MD 21401
Open in Google Maps ↗

Secondary Practice Locations 42

Location 1810 Gleneagles Ct Ste 204Towson, MD 21286-2236 · Phone (443) 351-3376 · Fax (410) 296-5463
Location 29948 N Main St Unit 1Berlin, MD 21811-1076 · Phone (410) 921-3376 · Fax (443) 736-1945
Location 3180 Admiral Cochrane Dr Ste 410Annapolis, MD 21401-8405 · Phone (667) 383-7546 · Fax (410) 263-7482
Location 45977 Exchange Dr Ste C-DSykesville, MD 21784-9265 · Phone (443) 351-3376 · Fax (301) 829-4187
Location 51069 Centerbrooke LnSuffolk, VA 23434-8475 · Phone (757) 925-1860 · Fax (757) 925-1863
Location 610700 Charter Dr Ste 300Columbia, MD 21044-3695 · Phone (667) 375-3376 · Fax (443) 249-7437
Location 711351 Random Hills Rd Ste 200Fairfax, VA 22030-6081 · Phone (571) 234-6078 · Fax (667) 464-3376
Location 8510 Upper Chesapeake Dr Pavilion III Ste 415Bel Air, MD 21014-4336 · Phone (410) 939-0961 · Fax (443) 787-4389
Location 91035 Champions Way Ste 100Suffolk, VA 23435-3762 · Phone (757) 967-0790 · Fax (757) 967-0793
Location 1054 Scott Adam Rd Ste 301Hunt Valley, MD 21030-3360 · Phone (410) 666-3960 · Fax (410) 666-3981
Location 11995 N Prince Frederick Blvd Ste 205Prince Frederick, MD 20678-5101 · Phone (443) 351-3376 · Fax (410) 535-6574
Location 127921 Jones Branch Dr Ste 320Mc Lean, VA 22102-3334 · Phone (703) 827-7008 · Fax (703) 827-7011
Location 13125 Market StVirginia Beach, VA 23462-6794 · Phone (757) 437-8900 · Fax (757) 437-8200
Location 1412695 McManus Blvd Ste 4A-BNewport News, VA 23602-4435 · Phone (757) 369-0439 · Fax (757) 369-0513
Location 15930 Revolution StHavre DE Grace, MD 21078-3718 · Phone (410) 939-0961 · Fax (410) 939-7832
Location 16810 Landmark Dr Ste 120-122Glen Burnie, MD 21061-4987 · Phone (443) 351-3376
Location 17180 Admiral Cochrane Dr Ste 420Annapolis, MD 21401-8405 · Phone (667) 383-7546 · Fax (410) 263-5439
Location 1815225 Shady Grove Rd Ste 303Rockville, MD 20850-3259 · Phone (301) 216-2980 · Fax (301) 216-2982
Location 192002 Medical Pkwy Ste 630Annapolis, MD 21401-3059 · Phone (410) 224-2260 · Fax (410) 224-3090
Location 201185 Imperial Dr Ste 201Hagerstown, MD 21740-6673 · Phone (240) 707-3757 · Fax (301) 791-5234
Location 21115 Sallitt Drive EastStevensville, MD 21666-2156 · Phone (443) 351-3376 · Fax (410) 643-3797
Location 228401 Connecticut Ave Ste 210Chevy Chase, MD 20815-5837 · Phone (240) 482-2555 · Fax (240) 822-2556
Location 238505 Arlington Blvd Ste 200Fairfax, VA 22031-4630 · Phone (301) 564-3131 · Fax (301) 564-6391
Location 24810 Landmark Dr Ste 217-219Glen Burnie, MD 21061-4987 · Phone (410) 766-1324 · Fax (410) 766-4177
Location 2511510 Old Georgetown RdRockville, MD 20852-2736 · Phone (301) 881-4124 · Fax (301) 881-6505
Location 266410 Rockledge Dr Ste 402Bethesda, MD 20817-7807 · Phone (301) 530-4800 · Fax (301) 531-1847
Location 276163 Executive BlvdRockville, MD 20852-3901 · Phone (855) 314-1425 · Fax (301) 984-3001
Location 282730 University Blvd W Ste 400Silver Spring, MD 20902-1972 · Phone (301) 933-0960 · Fax (301) 933-1547
Location 29301 W Watersville Rd Ste 2MOUNT AIRY, MD 21771-5868 · Phone (443) 351-3376 · Fax (301) 829-4187
Location 305630 Lowery RdNorfolk, VA 23502-2233 · Phone (757) 455-5009 · Fax (757) 362-3577
Location 316410 Rockledge Dr Ste 300Bethesda, MD 20817-7811 · Phone (301) 564-3131 · Fax (301) 564-6391
Location 3223503 Hollywood Rd Ste 102Leonardtown, MD 20650-5925 · Phone (443) 351-3376 · Fax (301) 475-1881
Location 33995 N Prince Frederick Blvd Ste 204Prince Frederick, MD 20678-5101 · Phone (443) 351-3376 · Fax (410) 535-6574
Location 347501 Greenway Center Drive Fl 10 Ste 1000Greenbelt, MD 20770-3513 · Phone (301) 345-7375 · Fax (301) 345-7269
Location 35231 Najoles Rd Ste 300Millersville, MD 21108-2670 · Phone (443) 351-3376 · Fax (443) 494-2303
Location 36180 Admiral Cochrane Dr Ste 430Annapolis, MD 21401-8405 · Phone (410) 339-0760 · Fax (410) 263-7482
Location 377101 Guilford Dr Ste 105Frederick, MD 21704-5198 · Phone (855) 314-1425 · Fax (301) 694-9481
Location 387671 Quarterfield Rd Ste 200AGlen Burnie, MD 21061-4407 · Phone (443) 351-3376 · Fax (410) 582-9155
Location 397671 Quarterfield Rd Ste 200BGlen Burnie, MD 21061-4407 · Phone (443) 351-3376 · Fax (410) 582-9155
Location 403430 Worthington Blvd Ste 205Urbana, MD 21704-7019 · Phone (301) 933-1547 · Fax (301) 732-4878
Location 414 Caulk Ln Ste BEaston, MD 21601-3808 · Phone (410) 822-8223 · Fax (410) 822-1423
Location 42410 Meadow Creek Dr Ste 205Westminster, MD 21158-9455 · Phone (301) 829-4185 · Fax (301) 829-4187

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Arundel Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

94

Medicare enrollment records show 94 clinicians reassign Medicare billing to Anne Arundel Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology56
Nurse Practitioner23
Micrographic Dermatologic Surgery (MDS)9
Pathology6

Nearest to this location (20)

See all 94
Janet Benton, NP
Nurse Practitioner
NPI 1114039161
2002 MEDICAL PKWY STE 630
Annapolis, MD 21401
(410) 224-2260
✔ PECOS✔ Accepts MedicareSame address
Alice He
Dermatology
NPI 1972992634
2002 MEDICAL PKWY STE 630
Annapolis, MD 21401
(410) 224-2260
✔ PECOS✔ Accepts MedicareSame address
Emma Lanuti, M.D.
Dermatology
NPI 1710118534
2002 MEDICAL PKWY STE 630
Annapolis, MD 21401
(815) 579-2072
✔ PECOS✔ Accepts MedicareSame address
Angela Peterman, M.D.
Dermatology
NPI 1306814264
600 RIDGELY AVE SUITE 123
Annapolis, MD 21401
(410) 224-3614
✔ PECOS1.4 mi
Adaeze Ezeofor, MD
Dermatology
NPI 1699359299
180 ADMIRAL COCHRANE DR STE 410
Annapolis, MD 21401
(667) 383-7546
✔ PECOS1.4 mi
Jennifer Gamber, M.D.
Dermatology
NPI 1639147648
180 ADMIRAL COCHRANE DR STE 410&420
Annapolis, MD 21401
(443) 351-3376
✔ PECOS✔ Accepts Medicare1.4 mi
Brittany Rivera, CRNP
Nurse Practitioner
NPI 1861198392
180 ADMIRAL COCHRANE DR STE 410
Annapolis, MD 21401
(410) 263-5439
✔ PECOS✔ Accepts Medicare1.4 mi
Marcus Zaayman, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1700310240
180 ADMIRAL COCHRANE DR STE 430
Annapolis, MD 21401
(410) 339-0760
✔ PECOS✔ Accepts Medicare1.4 mi
Mary Farley, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1447218847
703 GIDDINGS AVE SUITE 700
Annapolis, MD 21401
(410) 263-5439
✔ PECOS✔ Accepts Medicare1.8 mi
Kelly Mcguigan, M.D.
Dermatology
NPI 1316154644
101 RIDGELY AVE SUITE 10
Annapolis, MD 21401
(410) 280-0960
✔ PECOS✔ Accepts Medicare1.8 mi
Brandy Compton, NP
Nurse Practitioner
NPI 1245117928
231 NAJOLES RD STE 300
Millersville, MD 21108
(443) 351-3376
✔ PECOS8.8 mi
Sammy Kang, MD
Dermatology
NPI 1265606727
231 NAJOLES RD STE 300
Millersville, MD 21108
(443) 351-3376
✔ PECOS✔ Accepts Medicare8.8 mi
Cheryl Lonergan, M.D.
Dermatology
NPI 1316169758
4201 NORTHVIEW DR STE 200
Bowie, MD 20716
(443) 637-2888
✔ PECOS✔ Accepts Medicare11 mi
Lisa Anderson, MD
Dermatology
NPI 1134136393
115 SALLITT DR STE E
Stevensville, MD 21666
(443) 351-3376
✔ PECOS✔ Accepts Medicare12 mi
Marianne Dawn, MD
Dermatology
NPI 1033252390
7671 QUARTERFIELD ROAD SUITE 200
Glen Burnie, MD 21061
(410) 766-0111
✔ PECOS✔ Accepts Medicare12 mi
Kelsey Reed, CRNP
Nurse Practitioner
NPI 1992669873
7671 QUARTERFIELD RD STE 200 A AND B
Glen Burnie, MD 21061
(667) 296-5285
✔ PECOS✔ Accepts Medicare12 mi
Mercy Viator, CRNP
Nurse Practitioner
NPI 1467914077
7671 QUARTERFIELD RD STE 200
Glen Burnie, MD 21061
(410) 766-0111
✔ PECOS✔ Accepts Medicare12 mi
Najiyah Kazi, M.D.
Pathology
NPI 1245551597
810 LANDMARK DR STE 217-219
Glen Burnie, MD 21061
(410) 766-0111
✔ PECOS✔ Accepts Medicare12 mi
Richard Pfau, MD
Pathology
NPI 1518935485
810 LANDMARK DR STE 117-119
Glen Burnie, MD 21061
(410) 766-0111
✔ PECOS✔ Accepts Medicare12 mi
Shane Smith, M.D
Pathology
NPI 1124476676
810 LANDMARK DR STE 217-219
Glen Burnie, MD 21061
(443) 351-3376
✔ PECOS✔ Accepts Medicare12 mi
See all 94 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 15

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) 21D0894024

Anne Arundel Dermatology · Easton, MD
Active · expires Nov 3, 2028
CLIA Number21D0894024
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2026
Certificate Expiration DateNovember 3, 2028
Laboratory DirectorPeter H. Niebyl
Laboratory Phone(410) 822-8223
Laboratory LocationAnne Arundel Dermatology4 Caulk Lane, Suite B, Easton, MD 21601
CLIA data matches this NPI record on: Address Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2197026

Anne Arundel Dermatology · Chevy Chase, MD
Active · expires Oct 20, 2028
CLIA Number21D2197026
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2026
Certificate Expiration DateOctober 20, 2028
Laboratory DirectorNina Schram
Laboratory Phone(240) 482-2555
Laboratory LocationAnne Arundel Dermatology8401 Connecticut Ave Suite 210, Chevy Chase, MD 20815
CLIA data matches this NPI record on: Address Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0685047

Anne Arundel Dermatology · Bethesda, MD
Active · expires Jun 29, 2028
CLIA Number21D0685047
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorMark J. Jaffe MD
Laboratory Phone(301) 530-4800
Laboratory LocationAnne Arundel Dermatology6410 Rockledge Dr Suite 402, Bethesda, MD 20817
CLIA data matches this NPI record on: Address Name Phone
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.

Certificate of Compliance 21D0685344

Anne Arundel Dermatology PA · Glen Burnie, MD
Active · expires Mar 15, 2028
CLIA Number21D0685344
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorRichard G. Pfau MD
Laboratory Phone(410) 766-1324
Laboratory LocationAnne Arundel Dermatology PA810 Landmark Dr Ste 217-219, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 21D0894223

Anne Arundel Dermatology · Havre De Grace, MD
Active · expires Oct 27, 2027
CLIA Number21D0894223
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorDavid F. Jaffe
Laboratory Phone(410) 939-0961
Laboratory LocationAnne Arundel Dermatology930 Revolution St, Havre De Grace, MD 21078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 21D0224972

Anne Arundel Dermatology · Annapolis, MD
Active · expires Mar 3, 2027
CLIA Number21D0224972
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorDr. Alice He
Laboratory Phone(410) 224-2260
Laboratory LocationAnne Arundel Dermatology2002 Medical Parkway Ste 630, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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, LLC's NPI number?

The NPI number for Anne Arundel Dermatology, LLC is 1063481703. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Anne Arundel Dermatology, LLC located?

Anne Arundel Dermatology, LLC is located at 2002 Medical Pkwy Ste 630, Annapolis, MD 21401. The listed phone number is (410) 224-2260.

What is Anne Arundel Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anne Arundel Dermatology, LLC enrolled in Medicare?

Yes. Anne Arundel Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anne Arundel Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 4 Medicare specialties reassign their Medicare billing to Anne Arundel Dermatology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (56), Nurse Practitioner (23) and Micrographic Dermatologic Surgery (MDS) (9). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anne Arundel Dermatology, LLC hold CLIA laboratory certificates?

Yes. 15 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Anne Arundel Dermatology, LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.