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INTEGRATED DERMATOLOGY OF MASS AVE, LLC
NPI 1417450883
Dermatology - MOHS-Micrographic Surgery in Washington, DC

Active since March 13, 2018
4910 MASSACHUSETTS AVE NW STE 308, WASHINGTON, DC 20016(202) 695-1000(202) 503-1791 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2018, Mar 13, 2018 (2 updates tracked since 2018).

About Integrated Dermatology Of Mass Ave, Llc NPPES

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

INTEGRATED DERMATOLOGY OF MASS AVE, LLC (NPI 1417450883) is a healthcare organization registered as a mohs-micrographic surgery in Washington, District Of Columbia and active in the NPI registry since March 2018. The organization lists Adam S. Plotkin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1417450883
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameINTEGRATED DERMATOLOGY OF MASS AVE, LLC
Location Address4910 MASSACHUSETTS AVE NW STE 308Washington, DC 20016-4382
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000 · Fax (561) 431-2821
Phone(202) 695-1000
Fax(202) 503-1791
Organization SubpartNo
Authorized OfficialAdam S. PlotkinAuthorized Official · (561) 314-2000
Enumeration DateMarch 13, 2018
Last NPPES UpdateMay 1, 20182 updates tracked since enumeration
✔ NPI 1417450883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
4910 MASSACHUSETTS AVE NW STE 308, Washington, DC 20016
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. WALLACE RAMSEY NOZILE MD
Dermatology (MOHS-Micrographic Surgery)
4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON, DC 20016
District of Columbia (202) 695-1000
STEPHEN SUAH M.D.
Dermatology
4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON, DC 20016
District of Columbia (202) 695-1000
CAROLYN NALAE YI
Physician Assistant
4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON, DC 20016
District of Columbia (202) 695-1000

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 Integrated Dermatology Of Mass Ave, LLC's NPI number?

The NPI number for Integrated Dermatology Of Mass Ave, LLC is 1417450883. It was assigned to this organization in the NPPES registry on March 13, 2018.

Where is Integrated Dermatology Of Mass Ave, LLC located?

Integrated Dermatology Of Mass Ave, LLC is located at 4910 Massachusetts Ave NW Ste 308, Washington, DC 20016. The listed phone number is (202) 695-1000.

What is Integrated Dermatology Of Mass Ave, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Mass Ave, LLC was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.