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CORNERSTONE DERMATOLOGY, PC
NPI 1982736385
Dermatology in Lebanon, PA

Active since March 12, 2007CLIA 39D1008516 · Microscopy
923 RUSSELL DR, LEBANON, PA 17042(717) 270-9004(717) 270-1677 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cornerstone Dermatology, Pc NPPES

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

CORNERSTONE DERMATOLOGY, PC (NPI 1982736385) is a healthcare organization registered as a dermatology in Lebanon, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through January 21, 2027 and lists Daniel G Zavadak, President, as its authorized official.

NPPES Registry Identity

NPI1982736385
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCORNERSTONE DERMATOLOGY, PC
Location Address923 RUSSELL DRLebanon, PA 17042-7487
Mailing Address923 Russell DrLebanon, PA 17042-7487 · (717) 270-9004 · Fax (717) 270-1677
Phone(717) 270-9004
Fax(717) 270-1677
Organization SubpartNo
Authorized OfficialDaniel G ZavadakPresident · (717) 270-9004
Enumeration DateMarch 12, 2007
Last NPPES UpdateJune 4, 2008
✔ NPI 1982736385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in PA · MD055106L
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.
923 RUSSELL DR, Lebanon, PA 17042
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Other Identifiers 2

Medicare PIN070017580PA
Medicare PIN065175PA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cornerstone Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cornerstone Dermatology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Zavadak, M.D.
Dermatology
NPI 1598745747
923 RUSSELL DR
Lebanon, PA 17042
(717) 270-9004
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 39D1008516

Cornerstoen Dermatology · Lebanon, PA
Active · expires Jan 21, 2027
CLIA Number39D1008516
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorDaniel Zavadak MD
Laboratory Phone(717) 270-9004
Laboratory LocationCornerstoen Dermatology923 Russell Drive, Lebanon, PA 17042
CLIA data matches this NPI record on: Address 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.

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 Cornerstone Dermatology, PC's NPI number?

The NPI number for Cornerstone Dermatology, PC is 1982736385. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Cornerstone Dermatology, PC located?

Cornerstone Dermatology, PC is located at 923 Russell Dr, Lebanon, PA 17042. The listed phone number is (717) 270-9004.

What is Cornerstone Dermatology, PC's specialty?

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

Is Cornerstone Dermatology, PC enrolled in Medicare?

Yes. Cornerstone Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cornerstone Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Cornerstone Dermatology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cornerstone Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D1008516) is associated with this NPI, valid through January 21, 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 Cornerstone Dermatology, PC was last updated on June 4, 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.