1. Home
  2. Directory
  3. Florida
  4. Ormond Beach
  5. Dermatology
  6. NPI Profile

ASSOCIATED DERMATOLOGIST PA
NPI 1801003496
Dermatology in Ormond Beach, FL

Active since May 16, 2007CLIA 10D0268096 · Microscopy
155 N NOVA RD, ORMOND BEACH, FL 32174(386) 672-3111(386) 672-6532 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Associated Dermatologist Pa NPPES

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

ASSOCIATED DERMATOLOGIST PA (NPI 1801003496) is a healthcare organization registered as a dermatology in Ormond Beach, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through March 17, 2028 and lists John C Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1801003496
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLONG DERMATOLOGY PA
Location Address155 N NOVA RDOrmond Beach, FL 32174-5138
Mailing Address155 N Nova RdOrmond Beach, FL 32174-5138 · (386) 672-3111 · Fax (386) 672-6532
Phone(386) 672-3111
Fax(386) 672-6532
Organization SubpartNo
Authorized OfficialJohn C LongOwner · (386) 672-3111
Enumeration DateMay 16, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1801003496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME68137
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.
155 N NOVA RD, Ormond Beach, FL 32174
Open in Google Maps ↗

Other Names 1

Doing Business AsAssociated Dermatologist Pa

Other Identifiers 4

Medicare PINN6001FL
Medicare UPING62265FL
Medicare PIN32591ZFL
Medicare PINAF874FL

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 for Provider-Performed Microscopy Procedures (PPMP) 10D0268096

Associated Dermatologists · Ormond Beach, FL
Active · expires Mar 17, 2028
CLIA Number10D0268096
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorJohn C. Long Jr
Laboratory Phone(386) 672-3111
Laboratory LocationAssociated Dermatologists155 N Nova Rd, Ormond Beach, FL 32174
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.

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.

DR. JOHN CHARLES LONG JR. MD
Dermatology
155 N NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 672-3111
ASSOCIATED DERMATOLOGIST PA
Dermatology
155 N NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 672-3111

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 Long Dermatology PA's NPI number?

The NPI number for Long Dermatology PA is 1801003496. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is doing business as Associated Dermatologist PA.

Where is Long Dermatology PA located?

Long Dermatology PA is located at 155 N Nova Rd, Ormond Beach, FL 32174. The listed phone number is (386) 672-3111.

What is Long Dermatology PA's specialty?

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

Does Long Dermatology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0268096) is associated with this NPI, valid through March 17, 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 Long Dermatology PA was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.