OrganizationActive
Tideway Dermatology, PA
NPI 1619054525 · Specialist · Havre De Grace, MD
Tideway Dermatology, PA is a Specialist organization in Havre De Grace, MD (NPI 1619054525).
Provider details
- NPI number
- 1619054525
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- David Jaffe, Owner(410) 939-0961
- License
- D0045614 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
323 S Union Ave
Havre De Grace, MD 21078-3201
Phone: (410) 939-0961
Street-level locationGet directions
Mailing address
323 S Union Ave
Havre De Grace, MD 21078-3201
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2016-07-26
Frequently asked questions
- What is Tideway Dermatology, PA's NPI number?
- Tideway Dermatology, PA's National Provider Identifier (NPI) is 1619054525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tideway Dermatology, PA?
- Tideway Dermatology, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tideway Dermatology, PA located?
- Tideway Dermatology, PA's practice location on file with NPPES is 323 S Union Ave, Havre De Grace, MD 21078-3201.
- What is Tideway Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Tideway Dermatology, PA is (410) 939-0961.
- Who is the authorized official for Tideway Dermatology, PA?
- The authorized official listed on Tideway Dermatology, PA's NPPES record is David Jaffe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tideway Dermatology, PA's NPI active?
- Yes — Tideway Dermatology, PA's NPI (1619054525) is active in the NPPES registry as of the last update on 2016-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.