EPIPHANY DERMATOLOGY OF MARYLAND PA
NPI 1215721501
Dermatology in Towson, MD

Active since April 09, 2025CLIA 21D2323855 · Certificate of Compliance
6535 N CHARLES ST STE 200, TOWSON, MD 21204(410) 321-1195 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, Apr 9, 2025 (2 updates tracked since 2025).

About Epiphany Dermatology Of Maryland Pa NPPES

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

EPIPHANY DERMATOLOGY OF MARYLAND PA (NPI 1215721501) is a healthcare organization registered as a dermatology in Towson, Maryland and active in the NPI registry since April 2025. The organization holds a CLIA Certificate of Compliance certificate valid through March 29, 2028 and lists Gheorghe Pusta, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215721501
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEPIPHANY DERMATOLOGY OF MARYLAND PA
Location Address6535 N CHARLES ST STE 200Towson, MD 21204-5823
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730 · (512) 628-0465
Organization SubpartNo
Authorized OfficialGheorghe PustaExecutive Director · (512) 628-0465
Enumeration DateApril 9, 2025
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1215721501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
6535 N CHARLES ST STE 200, Towson, MD 21204

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 of Compliance 21D2323855

Epiphany Dermatology Of Maryland PA · Towson, MD
Active · expires Mar 29, 2028
CLIA Number21D2323855
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorDr. Thomas C. Yu
Laboratory Phone(410) 321-1195
Laboratory LocationEpiphany Dermatology Of Maryland PA6535 N Charles St #200, Towson, MD 21204
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
6535 N CHARLES ST STE 200
BALTIMORE, MD 21204
Dermatology
6535 N CHARLES ST STE 200
BALTIMORE, MD 21204

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 Epiphany Dermatology Of Maryland PA's NPI number?

The NPI number for Epiphany Dermatology Of Maryland PA is 1215721501. It was assigned to this organization in the NPPES registry on April 9, 2025.

Where is Epiphany Dermatology Of Maryland PA located?

Epiphany Dermatology Of Maryland PA is located at 6535 N Charles St Ste 200, Towson, MD 21204. The listed phone number is (410) 321-1195.

What is Epiphany Dermatology Of Maryland PA's specialty?

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

Does Epiphany Dermatology Of Maryland PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2323855) is associated with this NPI, valid through March 29, 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 Epiphany Dermatology Of Maryland PA was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.