EASTON DERMATOLOGY ASSOCIATES, LLC
NPI 1104094655
Specialist in Easton, MD

Active since February 19, 2008CLIA 21D2026498 · Certificate of Compliance
403 MARVEL CT, EASTON, MD 21601(410) 819-8867(410) 822-0416 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Easton Dermatology Associates, Llc NPPES

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

EASTON DERMATOLOGY ASSOCIATES, LLC (NPI 1104094655) is a healthcare organization registered as a specialist in Easton, Maryland and active in the NPI registry since February 2008. The organization holds a CLIA Certificate of Compliance certificate valid through February 15, 2028 and lists Michael A Del Torto, Owner, as its authorized official.

NPPES Registry Identity

NPI1104094655
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTON DERMATOLOGY ASSOCIATES, LLC
Location Address403 MARVEL CTEaston, MD 21601-4053
Mailing Address403 Marvel CtEaston, MD 21601-4053 · (410) 819-8867 · Fax (410) 822-0416
Fax(410) 822-0416
Organization SubpartNo
Authorized OfficialMichael A Del TortoOwner · (410) 819-8867
Enumeration DateFebruary 19, 2008
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1104094655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · D0059921
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.
403 MARVEL CT, Easton, MD 21601

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Easton Dermatology Associates, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1548432933
403 MARVEL CT
Easton, MD 21601
(410) 819-8867
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1811037518
403 MARVEL CT
Easton, MD 21601
(410) 819-8867
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1598784118
403 MARVEL CT
Easton, MD 21601
(410) 819-8867
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003415720
1113 HEALTHWAY DR STE 101
Salisbury, MD 21804
(443) 944-8723
✔ PECOS✔ Accepts Medicare38 mi
Dermatology
NPI 1356500011
5530 WISCONSIN AVE STE 1418
Chevy Chase, MD 20815
(301) 986-1880
✔ PECOS✔ Accepts Medicare57 mi
Pathology
NPI 1982893046
119 AUTUMN WIND WAY CAPITOL DERMATOPATHOLOY, L.L.C.
Rockville, MD 20850
(240) 750-3165
✔ PECOS✔ Accepts Medicare63 mi

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

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 of Compliance 21D2026498

Easton Dermatology Associates LLC · Easton, MD
Active · expires Feb 15, 2028
CLIA Number21D2026498
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorChyi-Chia Lee
Laboratory Phone(410) 819-8867
Laboratory LocationEaston Dermatology Associates LLC403 Marvel Court, Easton, MD 21601
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.

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 Easton Dermatology Associates, LLC's NPI number?

The NPI number for Easton Dermatology Associates, LLC is 1104094655. It was assigned to this organization in the NPPES registry on February 19, 2008.

Where is Easton Dermatology Associates, LLC located?

Easton Dermatology Associates, LLC is located at 403 Marvel Ct, Easton, MD 21601. The listed phone number is (410) 819-8867.

What is Easton Dermatology Associates, LLC's specialty?

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

Is Easton Dermatology Associates, LLC enrolled in Medicare?

Yes. Easton Dermatology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Easton Dermatology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Easton Dermatology Associates, 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 (4), Nurse Practitioner (1) and Pathology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Easton Dermatology Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2026498) is associated with this NPI, valid through February 15, 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 Easton Dermatology Associates, LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.