Advanced Dermatology and Cosmetic Center, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0061483 Issued in MD

Legal business name

ADVANCED DERMATOLOGY AND COSMETIC CENTER, LLC

Practice address

11125 Rockville Pike
Suite 105
North Bethesda, MD 20852-3142

Phone

(301) 770-0033

Fax

(301) 770-0035

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Joy Yung-Chia Chen, M.D.NPI 1104906908

Title

Director

Phone

(301) 770-0033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Joy Yung-Chia Chen, M.D.

  • Dermatology Physician
  • North Bethesda, MD
  • NPI 1104906908

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1417170473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 105",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-770-0033",
            "fax_number": "301-770-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 105",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-770-0033",
            "fax_number": "301-770-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY AND COSMETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "YUNG-CHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-770-0033",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0061483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.