Integrated Dermatology of White Plains, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF WHITE PLAINS, LLC

Practice address

4225 Altamont PL
Unit 3
White Plains, MD 20695-3063

Phone

(301) 374-9511

Fax

(301) 645-4734

NPI assigned

Aug 1, 2016

Last updated

Jan 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam S Plotkin, MD

Title

Authorized Official

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 7

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.

• Mary F. Farley, M.D.

  • MOHS-Micrographic Surgery Physician
  • Annapolis, MD
  • NPI 1447218847

  Dermatology

  Medicare reassignment Care Compare group NPD
• Shelby Lawanson

  • Physician Assistant
  • White Plains, MD
  • NPI 1700763323
  Medicare reassignment Care Compare group NPD
• Maren Shaw, M.D.

  • Dermatology Physician
  • Washington, DC
  • NPI 1205039922

  MD

  Medicare reassignment Care Compare group NPD
• Jonathan St. Pierre Smith, D.O.

  • MOHS-Micrographic Surgery Physician
  • Fairfax, VA
  • NPI 1427378595

  Dermatology, MD

  Medicare reassignment Care Compare group NPD
• Jacob Manuel Aja, PA-C

  • Surgical Physician Assistant
  • Annapolis, MD
  • NPI 1073794012
  Medicare reassignment Care Compare group
• Meghan A Lainoff, PA-C

  • Physician Assistant
  • White Plains, MD
  • NPI 1902454366
  Medicare reassignment Care Compare group
• Meghan Berger Pocius, PA-C

  • Medical Physician Assistant
  • White Plains, MD
  • NPI 1326297920
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1225581879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PL",
            "address_2": "UNIT 3",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953063",
            "telephone_number": "301-374-9511",
            "fax_number": "301-645-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF WHITE PLAINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hugh, RD
• Charles Larry Hunter II, LGPC
• Atola Nnenna Idika
• Imperial Mentoring, LLC (BeMindFul Counseling Center, LLC)
• Intact Counseling Service, LLC
• Sheryl Denine Jenkins-Long, LGSW
• Craig Arthur Jeschke, M.D.
• Harrison Hosung Jo, DMD
• Johns Hopkins Community Physicians (JHCP - 4225 Altamont Place SUITE 202)
• Johns Hopkins Community Physicians (JHCP - 5010 Regency Pl)

• Dermatology Physician in White Plains, MD
• Providers in White Plains, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.