Dermatology of Virginia

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101245322 Issued in VA

Legal business name

DERMATOLOGY OF VIRGINIA

Practice address

3930 Pender Dr
Suite 210
Fairfax, VA 22030-0985

Phone

(703) 828-7128

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Liana I Abramova, M.D.NPI 1831305465

Title

Ceo

Phone

(314) 239-1872

Specialties & licenses 1

Addresses

Other names 1

• DermVirginia Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liana Abramova, MD

  • Dermatology Physician
  • Fairfax, VA
  • NPI 1831305465

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• James Austin Cox, M.D.

  • Dermatology Physician
  • Bethesda, MD
  • NPI 1770723256

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1205212933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300992",
            "telephone_number": "703-828-7128",
            "fax_number": "703-825-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300985",
            "telephone_number": "703-828-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "ABRAMOVA",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-239-1872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101245322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermVirginia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dental Services DDS, PC
• Dentists of Fair Oaks
• Deborah Ruth Deperio
• Andrew John Itutud Derks, PHYSICIAN ASSISTANT
• Dermatology and Dermatologic Surgery, Inc.
• Virginia Marie Deroma, PHD
• Gabrielle Derosier
• Nicole Derosier, PA-C
• Amanda Derwae, M.D.
• Kavya Desai, MD, MPH

• Dermatology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.