ADVANCED DERMATOLOGY AND COSMETIC CENTER, LLC
NPI 1417170473
Dermatology in North Bethesda, MD

Active since April 10, 2007
11125 ROCKVILLE PIKE, SUITE 105, NORTH BETHESDA, MD 20852(301) 770-0033(301) 770-0035 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology And Cosmetic Center, Llc NPPES

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

ADVANCED DERMATOLOGY AND COSMETIC CENTER, LLC (NPI 1417170473) is a healthcare organization registered as a dermatology in North Bethesda, Maryland and active in the NPI registry since April 2007. The organization lists Joy Yung-chia Chen, Director, as its authorized official.

NPPES Registry Identity

NPI1417170473
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY AND COSMETIC CENTER, LLC
Location Address11125 ROCKVILLE PIKE, SUITE 105North Bethesda, MD 20852-3142
Mailing Address11125 Rockville Pike, Suite 105North Bethesda, MD 20852-3142 · (301) 770-0033 · Fax (301) 770-0035
Fax(301) 770-0035
Organization SubpartNo
Authorized OfficialJoy Yung-chia ChenDirector · (301) 770-0033
Enumeration DateApril 10, 2007
Last NPPES UpdateJune 2, 2014
✔ NPI 1417170473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MD · D0061483
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.
11125 ROCKVILLE PIKE, North Bethesda, MD 20852

Other Identifiers 2

Medicare PING02540MD
Medicare PING02540DC

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology And Cosmetic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Dermatology And Cosmetic Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1104906908
11125 ROCKVILLE PIKE SUITE 105
North Bethesda, MD 20852
(301) 770-0033
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Dermatology And Cosmetic Center, LLC's NPI number?

The NPI number for Advanced Dermatology And Cosmetic Center, LLC is 1417170473. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Advanced Dermatology And Cosmetic Center, LLC located?

Advanced Dermatology And Cosmetic Center, LLC is located at 11125 Rockville Pike Suite 105, North Bethesda, MD 20852. The listed phone number is (301) 770-0033.

What is Advanced Dermatology And Cosmetic Center, LLC's specialty?

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

Is Advanced Dermatology And Cosmetic Center, LLC enrolled in Medicare?

Yes. Advanced Dermatology And Cosmetic Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology And Cosmetic Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Advanced Dermatology And Cosmetic Center, LLC. 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.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology And Cosmetic Center, LLC was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.