Individual provider Active NPI

Amanda Lezanski-Gujda, D.O.

  • Dermatology Physician
  • Haverford, PA
National Provider Identifier
1760809891
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS025844 Issued in PA
Practice address
569 W Lancaster Ave
Haverford, PA 19041-1416
Phone
(610) 525-5250
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS025844 PA Primary

Addresses

Primary practice location

569 W Lancaster Ave
Haverford, PA 19041-1416

Mailing address

569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (601) 525-5250

Other names 1

  • Amanda Lezanski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210326000492 DC Practitioner - Dermatology 5395166953 Reassigns benefits to 2 organizations
I20210329001818 VA Practitioner - Dermatology 5395166953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rowan University School of Osteopathic Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
McLean Dermatology and Skincare CenterGroup PAC ID 4789867599, 3 clinicians
Potomac Dermatology and Skincare CenterGroup PAC ID 4486028784, 5 clinicians

Practice addresses (Care Compare)

6849 Old Dominion Dr
Suite 450
MC Lean, VA 22101-3718
Phone (703) 356-5111

9812 Falls Rd
Suite 124
Potomac, MD 20854-3976
Phone (703) 356-5111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of tissue1-10
Removal of skin lesions187
Removal or shaving of skin growth1-10
Skin biopsy98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102204303VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLean Dermatology and Skincare Center CurrentSince Sep 22, 2022 Accepting new patients
Potomac Dermatology and Skincare Center Dermatology CurrentSince Mar 6, 2023 Accepting new patients

Locations

9812 Falls Rd
Ste 124
Potomac, MD 20854
Phone (703) 356-1111

6849 Old Dominion Dr
McLean, VA 22101
Phone (571) 730-6260

6849 Old Dominion Dr
Ste 450
McLean, VA 22101
Phone (703) 356-5111

Interoperability endpoints

  • Direct secure messaging: drjcutler@cutlereye.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1760809891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 W LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411416",
            "telephone_number": "601-525-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 W LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411416",
            "telephone_number": "610-525-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZANSKI-GUJDA",
        "first_name": "AMANDA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS025844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LEZANSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.