MONTGOMERY DERMATOLOGY ASSOCIATES, LLC
NPI 1083012355
Clinic/Center - Medical Specialty in Rockville, MD

Q: What is Montgomery Dermatology Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since December 18, 2014

15225 SHADY GROVE RD, STE. 303, ROCKVILLE, MD 20850(301) 216-2980(301) 216-2982 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Montgomery Dermatology Associates, Llc NPPES

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

MONTGOMERY DERMATOLOGY ASSOCIATES, LLC (NPI 1083012355) is a healthcare organization registered as a medical specialty in Rockville, Maryland and active in the NPI registry since December 2014. The organization lists Walter J Giblin, Member / Owner, as its authorized official.

NPPES Registry Identity

NPI1083012355

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMONTGOMERY DERMATOLOGY ASSOCIATES, LLC

Location Address15225 SHADY GROVE RD, STE. 303Rockville, MD 20850-3254

Mailing Address15225 Shady Grove Rd, Ste. 303Rockville, MD 20850-3254 · (301) 216-2980 · Fax (301) 216-2982

Phone(301) 216-2980

Fax(301) 216-2982

Organization SubpartNo

Authorized OfficialWalter J GiblinMember / Owner · (301) 216-2983

Enumeration DateDecember 18, 2014

✔ NPI 1083012355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in MD · D0042867

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

15225 SHADY GROVE RD, Rockville, MD 20850

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ED ASHTAR M.D., F.A.C.P.

Internal Medicine (Hematology & Oncology)

15225 SHADY GROVE RD, SUITE 210
ROCKVILLE, MD 20850

Montgomery County (240) 477-6620

DANIEL J GOLDBERG M.D.

Internal Medicine (Cardiovascular Disease)

15225 SHADY GROVE RD, SUITE 201
ROCKVILLE, MD 20850

Montgomery County (301) 670-3000

RICHARD I WEINSTEIN M.D.

Internal Medicine (Cardiovascular Disease)

15225 SHADY GROVE RD, SUITE 201
ROCKVILLE, MD 20850

Montgomery County (301) 670-3000

DANIEL LEONARD GRIFFEN III M.D.

Internal Medicine (Cardiovascular Disease)

15225 SHADY GROVE RD, SUITE 201
ROCKVILLE, MD 20850

Montgomery County (301) 670-3000

JIN MOON KANG M.D.

Family Medicine

15225 SHADY GROVE RD, SUITE 102
ROCKVILLE, MD 20850

Montgomery County (301) 330-0661

DR. ALAN STUART CHANALES MD

Internal Medicine (Pulmonary Disease)

15225 SHADY GROVE RD
ROCKVILLE, MD 20850

Montgomery County (301) 330-0200

GREGORY H FISHER M.D.

Internal Medicine (Cardiovascular Disease)

15225 SHADY GROVE RD, SUITE 201
ROCKVILLE, MD 20850

Montgomery County (301) 670-3000

ANNE LOUISE DENICOFF CPNP

Nurse Practitioner (Pediatrics)

15225 SHADY GROVE RD, #304
ROCKVILLE, MD 20850

Montgomery County (301) 840-0660

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 Montgomery Dermatology Associates, LLC's NPI number?

The NPI number for Montgomery Dermatology Associates, LLC is 1083012355. It was assigned to this organization in the NPPES registry on December 18, 2014.

Where is Montgomery Dermatology Associates, LLC located?

Montgomery Dermatology Associates, LLC is located at 15225 Shady Grove Rd Ste. 303, Rockville, MD 20850. The listed phone number is (301) 216-2980.

What is Montgomery Dermatology Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Montgomery Dermatology Associates, LLC was last updated on December 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.