City Dermatology of Northern Virginia LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CITY DERMATOLOGY OF NORTHERN VIRGINIA LLC

Practice address

407 N Washington St Ste 104
Falls Church, VA 22046-3436

Phone

(703) 343-1064

Fax

(659) 204-4572

NPI assigned

Dec 29, 2020

Organization subpart

No

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

Authorized official

Name

Margaret Kopelman, MDNPI 1376661124

Title

Owner/Physician

Phone

(703) 343-1064

Specialties & licenses 1

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

Locations

Practitioners 1

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

• Margaret Kopelman, M.D.

  • Dermatology Physician
  • Falls Church, VA
  • NPI 1376661124

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669069266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50608",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222055608",
            "telephone_number": "703-343-1064",
            "fax_number": "659-204-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N WASHINGTON ST STE 104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463436",
            "telephone_number": "703-343-1064",
            "fax_number": "659-204-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DERMATOLOGY OF NORTHERN VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "KOPELMAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "703-343-1064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsey A. Cilia, M.D.
• Matthew Allen Cissell, PA-C
• Deborah G Clapp, MD
• Charles French Clark, LPC, NCC
• Diana Ragan Clark
• Dylan Edward Clark, PT
• Iza Amargo Clark, NP

• Dermatology Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.