NPIMap

Organization Active NPI

On Site Dermatology Associates LLC

  • Dermatology Physician
  • Parkville, MD
National Provider Identifier
1306154794
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ON SITE DERMATOLOGY ASSOCIATES LLC
Practice address
8800 Walther Blvd
Parkville, MD 21234-9001
Phone
(877) 345-5300
Fax
(561) 989-3665
NPI assigned
Sep 20, 2010
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Adam PlotkinNPI 1306896105
Title
Owner
Phone
(561) 314-2000

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

8800 Walther Blvd
Parkville, MD 21234-9001

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 314-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110321000634 MD Part B Supplier - Clinic/Group Practice 6406039973 Receives reassigned benefits from 8 practitioners
O20110324000254 DC Part B Supplier - Clinic/Group Practice 6406039973 Receives reassigned benefits from 8 practitioners
Practice locations: Sandy Spring, MD; Rockville, MD; Silver Spring, MD; Washington, DC; Potomac, MD; Adelphi, MD; Bethesda, MD; Bowie, MD…

National Provider Directory

National Provider Directory

Locations

1415 Saint Francis Rd
#A
Bel Air, MD 21014

7102 Bells Mill Rd
Bethesda, MD 20817
Phone (240) 447-9995

1495 Riedel Rd
Crofton, MD 21114
Phone (410) 451-1140

990 Waterford Dr
Frederick, MD 21702
Phone (240) 420-4170

11584 Scaggsville Rd
Fulton, MD 20759
Phone (443) 535-8343

730 State Route 3 S
Gambrills, MD 21054
Phone (410) 923-1200

1183 Luther Dr
Hagerstown, MD 21740
Phone (240) 420-4133

5805 Queens Chapel Rd
Hyattsville, MD 20782
Phone (301) 277-6500

8800 Walther Blvd
Ste 226
Parkville, MD 21234

6121 Montrose Rd
Rockville, MD 20852
Phone (301) 770-8377

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1306154794",
    "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": "8800 WALTHER BLVD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349001",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE DERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-314-2000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.