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FOREFRONT DERMATOLOGY SC
NPI 1609604610
Dermatology in Fairfax, VA

Active since July 22, 2024
3025 HAMAKER CT STE 340, FAIRFAX, VA 22031(703) 849-8036(703) 204-3448 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forefront Dermatology Sc NPPES

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

FOREFRONT DERMATOLOGY SC (NPI 1609604610) is a healthcare organization registered as a dermatology in Fairfax, Virginia and active in the NPI registry since July 2024. The organization lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1609604610
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY SC
Location Address3025 HAMAKER CT STE 340Fairfax, VA 22031-2237
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(703) 849-8036
Fax(703) 204-3448
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 663-9008
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1609604610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
3025 HAMAKER CT STE 340, Fairfax, VA 22031
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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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 49D2308316

Forefront Dermatology, Sc · Fairfax, VA
Expired · Jul 24, 2026
CLIA Number49D2308316
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorMichele Z. Magnino
Laboratory Phone(703) 849-8036
Laboratory LocationForefront Dermatology, Sc3025 Hamaker Ct, Suite 340, Fairfax, VA 22031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2081610

Forefront Dermatology Sc · Fairfax, VA
Expired · Jul 27, 2026
CLIA Number49D2081610
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorMichele Z. Magnino
Laboratory Phone(920) 663-9035
Laboratory LocationForefront Dermatology Sc3025 Hamaker Court - Suite 300, Fairfax, VA 22031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

AMANDA UNALIVIA BURACKER PA-C
Physician Assistant
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031
Fairfax County (703) 849-8036
FREIDRICH DATU ANSELMO MD
Dermatology
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031
Fairfax County (703) 849-8036
SAUNDRA L SEAMAN MD
Dermatology
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031
Fairfax County (703) 849-8036

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 Forefront Dermatology Sc's NPI number?

The NPI number for Forefront Dermatology Sc is 1609604610. It was assigned to this organization in the NPPES registry on July 22, 2024.

Where is Forefront Dermatology Sc located?

Forefront Dermatology Sc is located at 3025 Hamaker Ct Ste 340, Fairfax, VA 22031. The listed phone number is (703) 849-8036.

What is Forefront Dermatology Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Forefront Dermatology Sc was last updated on July 22, 2024. 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.