Cronin Dermatology and Skin Cancer Center, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CRONIN DERMATOLOGY AND SKIN CANCER CENTER, LLC

Practice address

5530 Wisconsin Ave Ste 1418
Chevy Chase, MD 20815-4302

Phone

(301) 986-1880

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Hyland Elizabeth Cronin, MDNPI 1356500011

Title

Ceo

Phone

(304) 685-3629

Specialties & licenses 2

Addresses

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cronin Dermatology & Skin Cancer Center of Kent Island, LLC

  • Dermatology Physician
  • Chester, MD
  • NPI 1427805175
  NPPES parent name

Practitioners 4

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

• Hyland Elizabeth Cronin, M.D.

  • Dermatology Physician
  • Chevy Chase, MD
  • NPI 1356500011

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Valerie Fitton, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1376269662
  Medicare reassignment Care Compare group NPD
• Cassandra L Rullman, PA-C

  • Physician Assistant
  • Chevy Chase, MD
  • NPI 1649746801

  DC

  Medicare reassignment Care Compare group
• Emily Boegner, FNP-C

  • Family Nurse Practitioner
  • Chevy Chase, MD
  • NPI 1760151955
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1659900850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1418",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "301-986-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1418",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "301-986-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRONIN DERMATOLOGY AND SKIN CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "HYLAND",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-685-3629",
        "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
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPS Partners LLC
• Mary K Craddock, MEDICAL DOCTOR
• Craig R. Dufresne, M.D., P.C.
• Richele Lynn Creppel, DNP
• Cresenciano C Lopez MD PA
• Hyland Elizabeth Cronin, M.D.
• Linda Croom, ANP, C
• Gary Don Crouch, MD
• Benedicte Crudgington, PA-C
• Suvarna Cumings-Menon, PHD

• Dermatology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.