DERMVIRGINIA
NPI 1205212933
Dermatology in Fairfax, VA

Active since August 04, 2015CLIA 49D2109198 · Microscopy
3930 PENDER DR, SUITE 210, FAIRFAX, VA 22030(703) 828-7128 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dermvirginia NPPES

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

DERMVIRGINIA (NPI 1205212933) is a healthcare organization registered as a dermatology in Fairfax, Virginia and active in the NPI registry since August 2015. The organization holds a CLIA Microscopy certificate valid through February 19, 2028 and lists Liana I Abramova, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205212933
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY OF VIRGINIA
Location Address3930 PENDER DR, SUITE 210Fairfax, VA 22030-0985
Mailing Address3930 Pender Dr Ste 210Fairfax, VA 22030-0992 · (703) 828-7128 · Fax (703) 825-7718
Organization SubpartNo
Authorized OfficialLiana I AbramovaCeo · (314) 239-1872
Enumeration DateAugust 4, 2015
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1205212933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in VA · 0101245322
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.

3930 PENDER DR, Fairfax, VA 22030

Other Names 1

Other NameDermvirginia

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) 49D2109198

Dermatology Of Virginia · Fairfax, VA
Active · expires Feb 19, 2028
CLIA Number49D2109198
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorLiana Abramova
Laboratory Phone(703) 828-7128
Laboratory LocationDermatology Of Virginia3930 Pender Drive - Suite 210, Fairfax, VA 22030
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.

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.

Orthopaedic Surgery
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Ophthalmology
3930 PENDER DR, SUITE 10
FAIRFAX, VA 22030
Ophthalmology
3930 PENDER DR, SUITE 10
FAIRFAX, VA 22030
Ophthalmology
3930 PENDER DR, SUITE 10
FAIRFAX, VA 22030
Clinic/Center (Dental)
3930 PENDER DR, SUITE110
FAIRFAX, VA 22030
Clinic/Center (Dental)
3930 PENDER DR, SUITE 110
FAIRFAX, VA 22030
Clinical Neuropsychologist
3930 PENDER DR, SUITE 320
FAIRFAX, VA 22030
Dentist
3930 PENDER DR, SUITE #250
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205212933, enumerated as an "organization" on August 04, 2015.

The provider is located at 3930 PENDER DR SUITE 210 FAIRFAX, VA 22030 and the phone number is (703) 828-7128.

Dermatology with taxonomy code 207N00000X.