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NOVA DERMATOLOGY SPECIALISTS PLLC
NPI 1447015300
Dermatology in Lorton, VA

Active since February 19, 2024CLIA 49D2306740 · Waiver
8988 LORTON STATION BLVD STE 103, LORTON, VA 22079(703) 261-4961(703) 540-1615 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Jun 13, 2024 (2 updates tracked since 2024).

About Nova Dermatology Specialists Pllc NPPES

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

NOVA DERMATOLOGY SPECIALISTS PLLC (NPI 1447015300) is a healthcare organization registered as a dermatology in Lorton, Virginia and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Marina Jungwirth, Owner, as its authorized official.

NPPES Registry Identity

NPI1447015300
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVA DERMATOLOGY SPECIALISTS PLLC
Location Address8988 LORTON STATION BLVD STE 103Lorton, VA 22079-4757
Mailing Address8988 Lorton Station Blvd Ste 103Lorton, VA 22079-4757 · (703) 261-4961 · Fax (703) 540-1615
Phone(703) 261-4961
Fax(703) 540-1615
Organization SubpartNo
Authorized OfficialMarina JungwirthOwner · (703) 261-4961
Enumeration DateFebruary 19, 2024
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1447015300 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.
8988 LORTON STATION BLVD STE 103, Lorton, VA 22079
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Nova Dermatology Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nova Dermatology Specialists PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Marina Jungwirth, MD
Dermatology
NPI 1164819066
8988 LORTON STATION BLVD STE 103
Lorton, VA 22079
(703) 261-4961
✔ PECOS✔ Accepts MedicareSame address
Hala Rogers, MD
Dermatology
NPI 1194309690
110 IRVING ST NW
Washington, DC 20010
(202) 877-2835
✔ PECOS✔ Accepts Medicare18 mi

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 Waiver 49D2306740

Nova Dermatology Specialists · Lorton, VA
Active · expires Jun 23, 2028
CLIA Number49D2306740
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorMarina S. Jungwirth
Laboratory Phone(703) 261-4961
Laboratory LocationNova Dermatology Specialists8988 Lorton Stations Blvd Suite 103, Lorton, VA 22079
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nova Dermatology Specialists PLLC's NPI number?

The NPI number for Nova Dermatology Specialists PLLC is 1447015300. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Nova Dermatology Specialists PLLC located?

Nova Dermatology Specialists PLLC is located at 8988 Lorton Station Blvd Ste 103, Lorton, VA 22079. The listed phone number is (703) 261-4961.

What is Nova Dermatology Specialists PLLC's specialty?

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

Is Nova Dermatology Specialists PLLC enrolled in Medicare?

Yes. Nova Dermatology Specialists PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Dermatology Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Nova Dermatology Specialists PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nova Dermatology Specialists PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2306740) is associated with this NPI, valid through June 23, 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 Nova Dermatology Specialists PLLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.