OrganizationActive
Eternal Dermatology and Aesthetic Center LLC
NPI 1033659164 · Dermatology Physician · Fulton, MD
Provider details
- NPI number
- 1033659164
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ife Rodney, Medical Director/Founder(301) 479-6544
- License
- D0071033 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11711 E Market Pl Ste 100
Fulton, MD 20759-2595
Phone: (301) 479-6544
Fax: (240) 654-0408
Street-level locationGet directions
Mailing address
11711 E Market Pl Ste 100
Fulton, MD 20759-2710
Registry dates
- Enumerated
- 2017-03-08
- Last updated
- 2024-09-28
- Certified
- 2024-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.