ADVANCED DERMATOLOGY OF MARYLAND PC
NPI 1760856413
Dermatology in Rockville, MD

Active since November 18, 2015CLIA Certified · 2 labs
2401 RESEARCH BLVD STE 260, ROCKVILLE, MD 20850(301) 990-6565(301) 990-8525 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2017, Nov 18, 2015 (2 updates tracked since 2015).

About Advanced Dermatology Of Maryland Pc NPPES

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

ADVANCED DERMATOLOGY OF MARYLAND PC (NPI 1760856413) is a healthcare organization registered as a dermatology in Rockville, Maryland and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Matt Louis Leavitt, Do / Owner, as its authorized official.

NPPES Registry Identity

NPI1760856413
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF MARYLAND PC
Location Address2401 RESEARCH BLVD STE 260Rockville, MD 20850-3261
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Fax(301) 990-8525
Organization SubpartNo
Authorized OfficialMatt Louis LeavittDo / Owner · (407) 875-2080
Enumeration DateNovember 18, 2015
Last NPPES UpdateJanuary 22, 20182 updates tracked since enumeration
NPI 1760856413 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.

2401 RESEARCH BLVD STE 260, Rockville, MD 20850

Other Identifiers 1

Medicaid8025029MD

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 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 of Accreditation 21D2027263

Advanced Dermatology Of Maryland · Rockville, MD
Active · expires Jan 25, 2028
CLIA Number21D2027263
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorKelley P. Redbord
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Maryland2401 Research Blvd Ste 260, Rockville, MD 20850
CLIA data matches this NPI record on: Address Name
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 Accreditation 21D2091714

Advanced Dermatology Of Maryland · Rockville, MD
Active · expires Dec 28, 2027
CLIA Number21D2091714
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorSherry Maragh
Laboratory Phone(301) 358-5919
Laboratory LocationAdvanced Dermatology Of Maryland14995 Shady Grove Rd Suite 150, Rockville, MD 20850
CLIA data matches this NPI record on: Name
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.

Other Providers at the Same Location NPPES 2

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

Specialist
2401 RESEARCH BLVD STE 260
ROCKVILLE, MD 20850
Physician Assistant
2401 RESEARCH BLVD STE 260
ROCKVILLE, MD 20850

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 Advanced Dermatology Of Maryland PC's NPI number?

The NPI number for Advanced Dermatology Of Maryland PC is 1760856413. It was assigned to this organization in the NPPES registry on November 18, 2015.

Where is Advanced Dermatology Of Maryland PC located?

Advanced Dermatology Of Maryland PC is located at 2401 Research Blvd Ste 260, Rockville, MD 20850. The listed phone number is (301) 990-6565.

What is Advanced Dermatology Of Maryland PC's specialty?

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

Does Advanced Dermatology Of Maryland PC hold CLIA laboratory certificates?

Yes. 2 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 Advanced Dermatology Of Maryland PC was last updated on January 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.