Organization Active NPI

Medical and Aesthetic Dermatology

  • Dermatology Physician
  • Olney, MD
National Provider Identifier
1982509519
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MEDICAL AND AESTHETIC DERMATOLOGY
Practice address
3416 Olandwood CT Ste 201
Olney, MD 20832-1373
Phone
(443) 542-0505
Fax
(443) 542-0506
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL AND AESTHETIC DERMATOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Dr. Cheryl Dewan Bansal, MD
Title
Owner/President
Phone
(443) 542-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

3416 Olandwood CT Ste 201
Olney, MD 20832-1373

Mailing address

9256 Bendix Rd Ste 200a
Columbia, MD 21045-1848
Phone (443) 542-0505

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1982509519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD STE 200A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451848",
            "telephone_number": "443-542-0505",
            "fax_number": "443-542-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 OLANDWOOD CT STE 201",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321373",
            "telephone_number": "443-542-0505",
            "fax_number": "443-542-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND AESTHETIC DERMATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL AND AESTHETIC DERMATOLOGY",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DEWAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "443-542-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.