DERMATOLOGY & ADVANCED SKIN CARE
NPI 1992738124
Specialist in Ellicott City, MD

Active since July 09, 2006
6021 UNIVERSITY BLVD, SUITE 390, ELLICOTT CITY, MD 21043(410) 203-0607(410) 203-0677 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology & Advanced Skin Care NPPES

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

DERMATOLOGY & ADVANCED SKIN CARE (NPI 1992738124) is a healthcare organization registered as a specialist in Ellicott City, Maryland and active in the NPI registry since July 2006. The organization lists Elisa Rusonis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992738124
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY & ADVANCED SKIN CARE
Location Address6021 UNIVERSITY BLVD, SUITE 390Ellicott City, MD 21043-6077
Mailing Address6021 University Blvd, Suite 390Ellicott City, MD 21043-6077 · (410) 203-0607 · Fax (410) 203-0677
Fax(410) 203-0677
Organization SubpartNo
Authorized OfficialElisa RusonisAdministrator · (410) 203-0607
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 1, 2010
NPI 1992738124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MD · D0030058
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6021 UNIVERSITY BLVD, Ellicott City, MD 21043

Other Identifiers 1

Other553M860FMD · Medicare Ptan

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

Other Providers at the Same Location NPPES 4

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

Dentist (Endodontics)
6021 UNIVERSITY BLVD, SUITE 170
ELLICOTT CITY, MD 21043
Dentist (Endodontics)
6021 UNIVERSITY BLVD
ELLICOTT CITY, MD 21043
Dermatology
6021 UNIVERSITY BLVD, SUITE 390
ELLICOTT CITY, MD 21043
Dermatology
6021 UNIVERSITY BLVD, STE 390
ELLICOTT CITY, MD 21043

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 Dermatology & Advanced Skin Care's NPI number?

The NPI number for Dermatology & Advanced Skin Care is 1992738124. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Dermatology & Advanced Skin Care located?

Dermatology & Advanced Skin Care is located at 6021 University Blvd Suite 390, Ellicott City, MD 21043. The listed phone number is (410) 203-0607.

What is Dermatology & Advanced Skin Care's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology & Advanced Skin Care was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.