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Integrated Dermatology of Fairfax, LLC

Dermatology Physician in Fairfax, VA · enumerated 2014 · authorized official Jeffrey Queen, Authorized Official.

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

National Provider Identifier

1861890303

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Registry record

Entity type Organization (Type 2)
Legal business name Integrated Dermatology of Fairfax, LLC
Practice address 10680 Main St Ste 200, Fairfax, VA, 22030
Enumeration date Dec 16, 2014
Last updated in NPPES Feb 21, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jeffrey Queen
Title Authorized Official

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 Integrated Dermatology of Fairfax, LLC?
NPPES lists Jeffrey Queen (Authorized Official) as the authorized official for this organization.
What is the NPI number for Integrated Dermatology of Fairfax, LLC?
The NPI for Integrated Dermatology of Fairfax, LLC is 1861890303, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-21.