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Tideway Dermatology, PA

Specialist in Havre De Grace, MD · enumerated 2006 · authorized official David Jaffe, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619054525

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Registry record

Entity type Organization (Type 2)
Legal business name Tideway Dermatology, PA
Practice address 323 S Union Ave, Havre De Grace, MD, 21078
Phone (410) 939-0961
Enumeration date Nov 1, 2006
Last updated in NPPES Jul 26, 2016

Taxonomy & classification

174400000X Specialist Other Service Providers · License D0045614 (MD) Primary

Authorized official

Name David Jaffe
Title Owner
Phone (410) 939-0961

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Tideway Dermatology, PA?
NPPES lists David Jaffe (Owner) as the authorized official for this organization.
What is the NPI number for Tideway Dermatology, PA?
The NPI for Tideway Dermatology, PA is 1619054525, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-26.