JEN-JOHN INC
NPI 1114039377
Dermatology in Frederick, MD

Active since August 31, 2006
68 THOMAS JOHNSON DR STE C, FREDERICK, MD 21702(301) 694-5292(866) 469-9533 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jen-john Inc NPPES

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

JEN-JOHN INC (NPI 1114039377), doing business as Dsf Cosmetic And Medical Dermatology, is a healthcare organization registered as a dermatology in Frederick, Maryland and active in the NPI registry since August 2006. The organization lists Monica Mcrae, Assistant Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114039377
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJEN-JOHN INC
Location Address68 THOMAS JOHNSON DR STE CFrederick, MD 21702-4901
Mailing AddressPo Box 1924Frederick, MD 21702 · (301) 694-5292 · Fax (866) 469-9533
Fax(866) 469-9533
Organization SubpartNo
Authorized OfficialMonica McraeAssistant Office Manager · (301) 694-5292
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1114039377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MD · D0040701
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.
68 THOMAS JOHNSON DR STE C, Frederick, MD 21702

Other Names 1

Doing Business AsDsf Cosmetic And Medical Dermatology

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jen-john Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20051012000802Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jen-John Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1659553766
68 THOMAS JOHNSON DR SUITE C
Frederick, MD 21702
(301) 694-5292
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1265877161
70 PARK AVE UNIT 3
Park Ridge, NJ 07656
(201) 582-8015
✔ PECOS✔ Accepts Medicare209 mi

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

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 Jen-John Inc's NPI number?

The NPI number for Jen-John Inc is 1114039377. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as DSF Cosmetic and Medical Dermatology.

Where is Jen-John Inc located?

Jen-John Inc is located at 68 Thomas Johnson Dr Ste C, Frederick, MD 21702. The listed phone number is (301) 694-5292.

What is Jen-John Inc's specialty?

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

Is Jen-John Inc enrolled in Medicare?

Yes. Jen-John Inc is registered in the Medicare PECOS enrollment system.

When is Jen-John Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jen-John Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Jen-John Inc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jen-John Inc was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.