NEW AGE DERMATOLOGY CENTER PA
NPI 1609927623
Dermatology in Apex, NC

Active since January 16, 2007CLIA 34D0983045 · Waiver
1091 PEMBERTON HILL RD STE 201, APEX, NC 27502(919) 367-3625(919) 367-3608 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Age Dermatology Center Pa NPPES

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

NEW AGE DERMATOLOGY CENTER PA (NPI 1609927623) is a healthcare organization registered as a dermatology in Apex, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Micsunica Elvira Chiritescu, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1609927623
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNEW AGE DERMATOLOGY CENTER PA
Location Address1091 PEMBERTON HILL RD STE 201Apex, NC 27502-4269
Mailing Address1091 Pemberton Hill Rd Ste 201Apex, NC 27502-4269 · (919) 367-3625 · Fax (919) 367-3608
Fax(919) 367-3608
Organization SubpartNo
Authorized OfficialMicsunica Elvira ChiritescuPhysician Owner · (919) 624-2802
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 29, 2014
NPI 1609927623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 2000-00747
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.
1091 PEMBERTON HILL RD STE 201, Apex, NC 27502

Other Identifiers 4

Other129ERNC · Blue Cross Blue Sheild
Medicare ID-Type Unspecified2287377NC
Medicaid89129ERNC
Medicare UPINH53515NC

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 Waiver 34D0983045

New Age Dermatology PA · Apex, NC
Active · expires Jun 19, 2027
CLIA Number34D0983045
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorElvira M. Chiritescu
Laboratory Phone(919) 367-3625
Laboratory LocationNew Age Dermatology PA1091 Pemberton Hill Rd Ste 201, Apex, NC 27502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
1091 PEMBERTON HILL RD STE 201
APEX, NC 27502

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 New Age Dermatology Center PA's NPI number?

The NPI number for New Age Dermatology Center PA is 1609927623. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is New Age Dermatology Center PA located?

New Age Dermatology Center PA is located at 1091 Pemberton Hill Rd Ste 201, Apex, NC 27502. The listed phone number is (919) 367-3625.

What is New Age Dermatology Center PA's specialty?

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

Does New Age Dermatology Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0983045) is associated with this NPI, valid through June 19, 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 New Age Dermatology Center PA was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.