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RESTON DERMATOLOGY COSMETIC CENTER
NPI 1821118613
Dermatology in Reston, VA

Active since March 29, 2007CLIA 49D2093822 · Waiver
1800 TOWN CENTER DR STE 212, RESTON, VA 20190(703) 766-2220(571) 323-1486 Get Directions Write a Review

NPPES record last updated: September 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Reston Dermatology Cosmetic Center NPPES

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

RESTON DERMATOLOGY COSMETIC CENTER (NPI 1821118613) is a healthcare organization registered as a dermatology in Reston, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Colleen Rock, Billing Credentialing, as its authorized official.

NPPES Registry Identity

NPI1821118613
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN PC
Location Address1800 TOWN CENTER DR STE 212Reston, VA 20190-3238
Mailing Address1800 Town Center Dr Ste 212Reston, VA 20190-3238 · (703) 766-2220 · Fax (571) 323-1486
Phone(703) 766-2220
Fax(571) 323-1486
Organization SubpartNo
Authorized OfficialColleen RockBilling Credentialing · (703) 766-2220
Enumeration DateMarch 29, 2007
Last NPPES UpdateSeptember 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1821118613 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.
1800 TOWN CENTER DR STE 212, Reston, VA 20190
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Other Names 1

Doing Business AsReston Dermatology Cosmetic Center

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 49D2093822

Reston Dermatology & Cosmetic Center · Reston, VA
Active · expires Aug 20, 2027
CLIA Number49D2093822
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorSyed A. Amiry
Laboratory Phone(703) 766-2220
Laboratory LocationReston Dermatology & Cosmetic Center1800 Town Center Drive Suite 212, Reston, VA 20190
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 3

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

DR. SYED AMIRY
Dermatology
1800 TOWN CENTER DR STE 212
RESTON, VA 20190
Fairfax County (703) 766-2220
RESTON MEDICAL ASSOCIATES
Internal Medicine
1800 TOWN CENTER DR STE 212
RESTON, VA 20190
Fairfax County (703) 435-2227
ARNELA ZUKANOVIC
Dermatology
1800 TOWN CENTER DR STE 212
RESTON, VA 20190
Fairfax County (703) 766-2220

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 Skin PC's NPI number?

The NPI number for Skin PC is 1821118613. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Reston Dermatology Cosmetic Center.

Where is Skin PC located?

Skin PC is located at 1800 Town Center Dr Ste 212, Reston, VA 20190. The listed phone number is (703) 766-2220.

What is Skin PC's specialty?

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

Does Skin PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2093822) is associated with this NPI, valid through August 20, 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 Skin PC was last updated on September 24, 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.