INTEGRATED DERMATOLOGY OF WHITE PLAINS, LLC
NPI 1225581879
Dermatology in White Plains, MD
About Integrated Dermatology Of White Plains, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF WHITE PLAINS, LLC (NPI 1225581879) is a healthcare organization registered as a dermatology in White Plains, Maryland and active in the NPI registry since August 2016. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2027 and lists Adam S Plotkin, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Dermatology Of White Plains, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Integrated Dermatology Of White Plains, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 21D0685242
Integrated Dermatology Of White Plains · White Plains, MDFrequently 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 Integrated Dermatology Of White Plains, LLC's NPI number?
The NPI number for Integrated Dermatology Of White Plains, LLC is 1225581879. It was assigned to this organization in the NPPES registry on August 1, 2016.
Where is Integrated Dermatology Of White Plains, LLC located?
Integrated Dermatology Of White Plains, LLC is located at 4225 Altamont Pl Unit 3, White Plains, MD 20695. The listed phone number is (301) 374-9511.
What is Integrated Dermatology Of White Plains, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of White Plains, LLC enrolled in Medicare?
Yes. Integrated Dermatology Of White Plains, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of White Plains, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integrated Dermatology Of White Plains, LLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Integrated Dermatology Of White Plains, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 21D0685242) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Integrated Dermatology Of White Plains, LLC was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Integrated Dermatology Of White Plains, Llc · NPI 1225581879
Dermatology organization in White Plains, Maryland. Organization record, active in the CMS NPPES registry since August 1, 2016.
## Identity
- **NPI:** 1225581879 (Entity type: Organization)
- **Enumerated:** August 1, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Adam Plotkin, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 4225 ALTAMONT PL, UNIT 3, White Plains, MD 20695-3063
- **Phone:** (301) 374-9511 · **Fax:** (301) 645-4734
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Micrographic Dermatologic Surgery (MDS) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225581879) · Data from the CMS NPPES public registry.