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RENEWAL DERMATOLOGY & MEDSPA, P.C.
NPI 1619232469
Dermatology in Gainesville, VA

Active since July 09, 2012CLIA Certified · 8 labs
7512 GARDNER PARK DR, GAINESVILLE, VA 20155(703) 753-9860(703) 753-9863 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renewal Dermatology & Medspa, P.c. NPPES

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

RENEWAL DERMATOLOGY & MEDSPA, P.C. (NPI 1619232469) is a healthcare organization registered as a dermatology in Gainesville, Virginia and active in the NPI registry since July 2012. The organization holds 8 active CLIA laboratory certificates and lists Kurt L Maggio, President, as its authorized official.

NPPES Registry Identity

NPI1619232469
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRENEWAL DERMATOLOGY & MEDSPA, P.C.
Location Address7512 GARDNER PARK DRGainesville, VA 20155-3414
Mailing Address7512 Gardner Park DrGainesville, VA 20155-3414 · (703) 753-9860 · Fax (703) 753-9863
Phone(703) 753-9860
Fax(703) 753-9863
Organization SubpartNo
Authorized OfficialKurt L MaggioPresident · (703) 753-9860
Enumeration DateJuly 9, 2012
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1619232469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
7512 GARDNER PARK DR, Gainesville, VA 20155
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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 8

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 Accreditation 49D2034129

Renewal Dermatology And Medspa · Gainesville, VA
Active · expires Apr 22, 2028
CLIA Number49D2034129
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorDr. Kurt L. Maggio
Laboratory Phone(703) 753-9860
Laboratory LocationRenewal Dermatology And Medspa7512 Gardner Park Drive, Gainesville, VA 20155
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 49D2174454

Renewal Dermatology + Medspa · Gainesville, VA
Active · expires Oct 31, 2027
CLIA Number49D2174454
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorKurt L. Maggio
Laboratory Phone(703) 753-9860
Laboratory LocationRenewal Dermatology + Medspa7508 Gardner Park Drive, Gainesville, VA 20155
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2171177

Renewal Dermatology & Medspa · Manassas, VA
Active · expires Aug 26, 2027
CLIA Number49D2171177
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorKurt L. Maggio
Laboratory Phone(703) 753-9860
Laboratory LocationRenewal Dermatology & Medspa10680 Crestwood Drive, Manassas, VA 20109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2171183

Renewal Dermatology & Medspa · Fairfax, VA
Active · expires Aug 26, 2027
CLIA Number49D2171183
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorKurt L. Maggio
Laboratory Phone(703) 753-9860
Laboratory LocationRenewal Dermatology & Medspa11096B Lee Highway, Suite 102, Fairfax, VA 22030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2171085

Renewal Dermatology & Medspa · Manassas, VA
Active · expires Aug 25, 2027
CLIA Number49D2171085
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorKurt L. Maggio
Laboratory Phone(703) 753-9860
Laboratory LocationRenewal Dermatology & Medspa8650 Sudley Road, Suite 310, Manassas, VA 20110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 49D2165185

Renewal Dermatology + Medspa · Springfield, VA
Active · expires Aug 20, 2027
CLIA Number49D2165185
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorKurt L. Maggio
Laboratory Phone(703) 753-9860
Laboratory LocationRenewal Dermatology + Medspa8136 Old Keene Mill Rd Ste A 201, Springfield, VA 22152
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

MARK GIBBS
Nurse Practitioner (Family)
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 753-9860
SOONYOU KWON MD
Dermatology (MOHS-Micrographic Surgery)
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 753-9860
DR. KURT LAURENCE MAGGIO M.D.
Dermatology
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 753-9860
RENEWAL DERMATOLOGY PLLC
Dermatology
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 753-9860
AMANDA LYNN MALGIERI PA-C
Physician Assistant
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 753-9860
RENEWAL DERMATOLOGY PLLC
Dermatology
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 753-9860

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 Renewal Dermatology & Medspa, P.C.'s NPI number?

The NPI number for Renewal Dermatology & Medspa, P.C. is 1619232469. It was assigned to this organization in the NPPES registry on July 9, 2012.

Where is Renewal Dermatology & Medspa, P.C. located?

Renewal Dermatology & Medspa, P.C. is located at 7512 Gardner Park Dr, Gainesville, VA 20155. The listed phone number is (703) 753-9860.

What is Renewal Dermatology & Medspa, P.C.'s specialty?

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

Does Renewal Dermatology & Medspa, P.C. hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Renewal Dermatology & Medspa, P.C. was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.