Integrated Dermatology of Gloucester, LLC
NPI 1710479936 · Dermatology Physician · Gloucester, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of Gloucester, LLC is a Dermatology Physician organization in Gloucester, VA (NPI 1710479936).
Provider details
- NPI number
- 1710479936
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Queen, Manager(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-06-04
- Last updated
- 2018-06-04
Frequently asked questions
- What is Integrated Dermatology of Gloucester, LLC's NPI number?
- Integrated Dermatology of Gloucester, LLC's National Provider Identifier (NPI) is 1710479936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Gloucester, LLC?
- Integrated Dermatology of Gloucester, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Gloucester, LLC located?
- Integrated Dermatology of Gloucester, LLC's practice location on file with NPPES is 6790 Wood Ridge Dr, Gloucester, VA 23061-4377.
- What is Integrated Dermatology of Gloucester, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Gloucester, LLC is (804) 693-6527.
- Does Integrated Dermatology of Gloucester, LLC accept Medicare?
- Integrated Dermatology of Gloucester, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Integrated Dermatology of Gloucester, LLC?
- The authorized official listed on Integrated Dermatology of Gloucester, LLC's NPPES record is Jeffrey Queen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Gloucester, LLC's NPI active?
- Yes — Integrated Dermatology of Gloucester, LLC's NPI (1710479936) is active in the NPPES registry as of the last update on 2018-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.