Integrated Dermatology of 19TH Street LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF 19TH STREET LLC

Practice address

1120 19TH St NW Ste 420
Washington, DC 20036-3606

Phone

(202) 955-6995

Fax

(202) 955-3908

NPI assigned

Jan 12, 2012

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam PlotkinNPI 1306896105

Title

MD

Phone

(561) 314-2000

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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tinatin Gotsiridze, MD

  • Dermatology Physician
  • Washington, DC
  • NPI 1255566394
  Medicare reassignment Care Compare group NPD
• Clinzo P. Mickle II, M.D.

  • Dermatology Physician
  • Washington, DC
  • NPI 1104096361
  Medicare reassignment Care Compare group NPD
• Sarika Snell, MD

  • Procedural Dermatology Physician
  • Washington, DC
  • NPI 1700106374
  Medicare reassignment Care Compare group NPD
• Caroline Smith Ghee, PA-C

  • Physician Assistant
  • Washington, DC
  • NPI 1558072108
  Medicare reassignment Care Compare group
• Hyland Elizabeth Cronin, M.D.

  • Dermatology Physician
  • Chevy Chase, MD
  • NPI 1356500011

  DC

  Medicare reassignment Care Compare group
• Adam S Plotkin, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1306896105
  NPD (past) Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1801166467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 19TH ST NW STE 420",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363606",
            "telephone_number": "202-955-6995",
            "fax_number": "202-955-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF 19TH STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Dermatology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.