Organization Active NPI

Easton Dermatology Associates, LLC

  • Specialist
  • Easton, MD
National Provider Identifier
1104094655
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0059921 Issued in MD
Legal business name
EASTON DERMATOLOGY ASSOCIATES, LLC
Practice address
403 Marvel CT
Easton, MD 21601-4053
Phone
(410) 819-8867
Fax
(410) 822-0416
NPI assigned
Feb 19, 2008
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael A Del Torto, M.D.NPI 1598784118
Title
Owner
Phone
(410) 819-8867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0059921 MD Primary

Addresses

Primary practice location

403 Marvel CT
Easton, MD 21601-4053

Mailing address

403 Marvel CT
Easton, MD 21601-4053
Phone (410) 819-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000504 MD Part B Supplier - Clinic/Group Practice 2466599501 Receives reassigned benefits from 15 practitioners
Practice locations: Easton, MD; Salisbury, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2026498Easton Dermatology Associates LLC403 Marvel Court, Easton, MD 21601ComplianceFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

403 Marvel Ct
Easton, MD 21601
Phone (410) 819-8867

106 Milford St
#501
Salisbury, MD 21804

106 Milford St
Ste 501B
Salisbury, MD 21804
Phone (410) 430-0727

411 Thompson Creek Rd
Stevensville, MD 21666

411 Thompson Creek Rd
#1
Stevensville, MD 21666

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1104094655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-819-8867",
            "fax_number": "410-822-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-819-8867",
            "fax_number": "410-822-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON DERMATOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DEL TORTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-819-8867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0059921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.