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Associated Dermatologist PA

Associated Dermatologist PA is a healthcare organization registered as Dermatology Physician in Ormond Beach, FL, holding Type 2 (organization) NPI 1861687071 since 2007. The authorized official on file is John Long, Owner.

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NPI 1861687071
Entity type Organization (Type 2)
Legal business name Associated Dermatologist PA
Practice address 155 N NOVA RD, Ormond Beach, FL, 32174
Phone 3866723111
Enumeration date 2007-09-11
Last updated in NPPES 2007-09-25

Authorized official

Name John Long
Title Owner
Phone 3866723111

Taxonomy & classification

Taxonomy code Specialty Primary License State
207N00000X Dermatology Physician Primary ME68137 FL

Other identifiers

Identifier Type State Issuer
N6001 Other MEDICARE
K0008 Other MEDICARE
Copy-ready billing details
Provider: Associated Dermatologist PA
NPI: 1861687071
Taxonomy: 207N00000X (Dermatology Physician)
Address: 155 N NOVA RD, Ormond Beach, FL, 32174

Providers at this address

NPI Name Type Specialty Location
1356351043 John Long Individual Dermatology Physician Ormond Beach, FL
1801003496 Long Dermatology PA Organization Dermatology Physician Ormond Beach, FL

Verify this record

Cross-check NPI 1861687071 against the authoritative CMS record: view Associated Dermatologist PA on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-09-25. Verify at npiregistry.cms.hhs.gov.
Where is Associated Dermatologist PA located?
The practice location on file with NPPES is in Ormond Beach, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-09-25.