Active NPI
Nova Dermatology Specialists PLLC
- Dermatology Physician
- Lorton, VA
National Provider Identifier
1447015300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NOVA DERMATOLOGY SPECIALISTS PLLC
- Practice address
- 8988 Lorton Station Blvd Ste 103
Lorton, VA 22079-4757 - Phone
- (703) 261-4961
- Fax
- (703) 540-1615
- NPI assigned
- Feb 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marina Jungwirth, MD
- Title
- Owner
- Phone
- (703) 261-4961
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
8988 Lorton Station Blvd Ste 103
Lorton, VA 22079-4757
Mailing address
8988 Lorton Station Blvd Ste 103
Lorton, VA 22079-4757
Phone (703) 261-4961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2306740 | Nova Dermatology Specialists | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://app.meldrx.com/api/fhir/ez_00397
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Washington, DC
- NPI 1194309690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1447015300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8988 LORTON STATION BLVD STE 103",
"city": "LORTON",
"state": "VA",
"postal_code": "220794757",
"telephone_number": "703-261-4961",
"fax_number": "703-540-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8988 LORTON STATION BLVD STE 103",
"city": "LORTON",
"state": "VA",
"postal_code": "220794757",
"telephone_number": "703-261-4961",
"fax_number": "703-540-1615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA DERMATOLOGY SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "JUNGWIRTH",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-261-4961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.