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DELMARVA SKIN PA
NPI 1255818522
Dermatology in Selbyville, DE

Active since July 19, 2018CLIA 08D2111454 · Certificate of Compliance
38394 DUPONT BLVD UNIT FG, SELBYVILLE, DE 19975(302) 564-0001 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Jul 19, 2018 (2 updates tracked since 2018).

About Delmarva Skin Pa NPPES

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

DELMARVA SKIN PA (NPI 1255818522) is a healthcare organization registered as a dermatology in Selbyville, Delaware and active in the NPI registry since July 2018. The organization holds a CLIA Certificate of Compliance certificate valid through July 29, 2027 and lists Sara Moghaddam, Physician, as its authorized official.

NPPES Registry Identity

NPI1255818522
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDELMARVA SKIN PA
Location Address38394 DUPONT BLVD UNIT FGSelbyville, DE 19975-3049
Mailing Address38394 Dupont Blvd Unit F&gSelbyville, DE 19975-3049 · (302) 564-0001
Phone(302) 564-0001
Organization SubpartNo
Authorized OfficialSara MoghaddamPhysician · (302) 564-0001
Enumeration DateJuly 19, 2018
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1255818522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in DE · C1-0011369
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.
38394 DUPONT BLVD UNIT FG, Selbyville, DE 19975
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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 08D2111454

Delmarva Skin PA · Selbyville, DE
Active · expires Jul 29, 2027
CLIA Number08D2111454
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorDr. Sara Moghaddam
Laboratory Phone(302) 564-0001
Laboratory LocationDelmarva Skin PA38394 Dupont Blvd Unit F/G, Selbyville, DE 19975
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 Delmarva Skin PA's NPI number?

The NPI number for Delmarva Skin PA is 1255818522. It was assigned to this organization in the NPPES registry on July 19, 2018.

Where is Delmarva Skin PA located?

Delmarva Skin PA is located at 38394 Dupont Blvd Unit Fg, Selbyville, DE 19975. The listed phone number is (302) 564-0001.

What is Delmarva Skin PA's specialty?

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

Does Delmarva Skin PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 08D2111454) is associated with this NPI, valid through July 29, 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 Delmarva Skin PA was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.