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ADVANCED DERMATOLOGY OF VIRGINIA INC
NPI 1801342639
Dermatology in Alexandria, VA

Active since August 31, 2016CLIA 49D2145950 · Certificate of Compliance
4660 KENMORE AVE STE 1100, ALEXANDRIA, VA 22304(703) 370-0073 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2023, Aug 31, 2016 (2 updates tracked since 2016).

About Advanced Dermatology Of Virginia Inc NPPES

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

ADVANCED DERMATOLOGY OF VIRGINIA INC (NPI 1801342639) is a healthcare organization registered as a dermatology in Alexandria, Virginia and active in the NPI registry since August 2016. The organization holds a CLIA Certificate of Compliance certificate valid through December 17, 2027, maintains 4 additional practice locations, and lists Matt Leavitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1801342639
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF VIRGINIA INC
Location Address4660 KENMORE AVE STE 1100Alexandria, VA 22304-1311
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Phone(703) 370-0073
Organization SubpartNo
Authorized OfficialMatt LeavittOwner · (407) 875-2080
Enumeration DateAugust 31, 2016
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1801342639 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.
4660 KENMORE AVE STE 1100, Alexandria, VA 22304
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Secondary Practice Locations 4

Location 145155 Research Pl Ste 140Ashburn, VA 20147-4193 · Phone (703) 858-0500
Location 2151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · Phone (407) 875-2080 ext. 1166 · Fax (407) 650-3455
Location 3419 Holiday Ct Ste 10Warrenton, VA 20186-4372 · Phone (540) 878-5781
Location 43700 Joseph Siewick Dr Ste 302Fairfax, VA 22033-1739 · Phone (703) 648-2488

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 Compliance 49D2145950

Advanced Dermatology Of Virginia · Alexandria, VA
Active · expires Dec 17, 2027
CLIA Number49D2145950
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorBruce D. Glassman
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Virginia4660 Kenmore Avenue - Suite 1100, Alexandria, VA 22304
CLIA data matches this NPI record on: Address Name
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 8

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

ALYSHA GUILLERMINA COLON MD
Dermatology
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
JESSICA CANCRYN
Registered Nurse
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
SEBASTIAN SALVATORE DEMARCO M.D.
Dermatology (MOHS-Micrographic Surgery)
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
PAULINA CROUSE
Physician Assistant
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
EMILY PECK
Physician Assistant
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
SARAH SCHUUR PA-C
Physician Assistant
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
MR. ALEXANDER H FISCHER MD
Dermatology
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073
KAREM KAUR SAUND PA-C
Physician Assistant (Medical)
4660 KENMORE AVE STE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0073

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 Virginia Inc's NPI number?

The NPI number for Advanced Dermatology Of Virginia Inc is 1801342639. It was assigned to this organization in the NPPES registry on August 31, 2016.

Where is Advanced Dermatology Of Virginia Inc located?

Advanced Dermatology Of Virginia Inc is located at 4660 Kenmore Ave Ste 1100, Alexandria, VA 22304. The listed phone number is (703) 370-0073.

What is Advanced Dermatology Of Virginia Inc's specialty?

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

Does Advanced Dermatology Of Virginia Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D2145950) is associated with this NPI, valid through December 17, 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 Advanced Dermatology Of Virginia Inc was last updated on October 25, 2023. 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.