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.
✓ Active NPI ✓ Valid NPI checksum
| 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
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Where is Associated Dermatologist PA located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-09-25.