ADVANCED DERMATOLOGY LLC , NPI 1609892298
Dermatology in NORWICH, CT
Last Updated on : Aug 18,2008
About ADVANCED DERMATOLOGY LLC (NPI 1609892298)
ADVANCED DERMATOLOGY LLC is a Dermatology in NORWICH, United States .
1609892298 is NPI number of ADVANCED DERMATOLOGY LLC.
ADVANCED DERMATOLOGY LLC's primary taxonomy code based on NPI Lookup is 207N00000X with license number 038560. This taxonomy code refers to Dermatology.
ADVANCED DERMATOLOGY LLC current practice location address is 111 SALEM TPKE, NORWICH, CT. ADVANCED DERMATOLOGY LLC can be reached out via phone at 860-859-2262 and via fax at 860-859-9819 .
You can also correspond with ADVANCED DERMATOLOGY LLC through mail at mailing address 111 SALEM TPKE, NORWICH, CT, United States. Mailing address contact number is 860-859-2262.
The enumeration date of ADVANCED DERMATOLOGY LLC is 15-Jul-2006. The provider is registered as an Organization and the NPI record was last updated 15 years ago. The authorized official of ADVANCED DERMATOLOGY LLC is HOWARD ROGERS (Owner). HOWARD ROGERS can be reached at 8608592262.1609892298 NPI Information
Basic NPI information of ADVANCED DERMATOLOGY LLC (NPI 1609892298) is provided below.
| Name | ADVANCED DERMATOLOGY LLC |
|---|---|
| National Provider Id (NPI) | 1609892298 |
| Entity Type | Organization |
| Practice Address | 111 SALEM TPKE,
SUITE 7
NORWICH, CT, United States |
| Practice Telephone | 860-859-2262 |
| Practice Fax Number | 860-859-9819 |
| Mailing Address | 111 SALEM TPKE ,
SUITE 7
NORWICH, CT, United States |
| Mailing Telephone | 860-859-2262 |
| Mailing Fax Number | 860-859-9819 |
| Enumeration Date | 15-Jul-2006 |
| Last Updated Date | 18-Aug-2008 |
ADVANCED DERMATOLOGY LLC (NPI 1609892298) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 038560 | CT |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
ADVANCED DERMATOLOGY LLC (NPI 1609892298) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 002932 | CT |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004182680 | MEDICAID (05) | CT | |
| 222316481 | Other (non-Medicare) (01) | CT | BCBS |
| C03128 | MEDICARE PIN (08) | CT | |
| DB9913 | Other (non-Medicare) (01) | CT | Medicare Railroad |
ADVANCED DERMATOLOGY LLC (NPI 1609892298) Office Location
Office location of ADVANCED DERMATOLOGY LLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1902332950 | 93 W MAIN OPERATING LLC | Skilled Nursing Facility | 93 W TOWN ST,
NORWICH, CT, United States |
11-May-2017 |
| 1154946259 | A NEW JOURNEY COUNSELING CENTER LLC | Counselor, Addiction (Substance Use Disorder) | 44 OTIS ST,
NORWICH, CT, United States |
15-Jun-2020 |
| 1326623299 | A PATH FORWARD COUNSELING, LLC | Counselor, Mental Health | 18 ONECO ST STE 3,
NORWICH, CT, United States |
12-Mar-2021 |
| 1861489585 | ABERA H ABAY | Internal Medicine, Gastroenterology | 79 WAWECUS ST,
SUITE 101 NORWICH, CT, United States |
29-Sep-2005 |
| 1932193919 | MARGARET M ABRAN | Nurse Anesthetist, Certified Registered | 179 N BROAD ST,
CHENANGO MEMORIAL HOSPITAL NORWICH, NY, United States |
07-Sep-2005 |
| 1497406805 | BRIDGITTE F. ACKEIFI | Nurse Practitioner, Psych/Mental Health | 41 OLD TURNPIKE RD,
SOUTHINGTON, CT, United States |
17-Jan-2022 |
| 1063897460 | AMANDA ACKERMANN | Licensed Practical Nurse | 43 GUERNSEY ST,
NORWICH, NY, United States |
27-Jul-2015 |
| 1588115646 | BETHANY ACKLEY | Social Worker, Clinical | 47 TOWN ST,
NORWICH, CT, United States |
24-Oct-2016 |
| 1205018850 | ANGEL LYNN ADAMS | Pharmacist | 5631 STATE HIGHWAY 12,
NORWICH, NY, United States |
05-Dec-2007 |
| 1780114009 | JULIE ROSE ADAMS | Counselor, Mental Health | 47 TOWN ST,
NORWICH, CT, United States |
19-Jun-2017 |
| 1962915637 | LISA ADAMS | Pharmacist | 220 SALEM TPKE,
NORWICH, CT, United States |
15-Nov-2017 |
| 1467946152 | STEPHANIE ADAMS | Nurse Practitioner, Family | 624 W MAIN ST STE 140,
NORWICH, CT, United States |
18-Jun-2018 |
| 1467994731 | ADAPTIVE PROSTHETICS & ORTHOTICS LLC | Prosthetic/Orthotic Supplier | 113 SALEM TPKE STE 10A,
NORWICH, CT, United States |
17-Nov-2016 |
| 1710266622 | LINDA ANN ADDANTE | Psychiatry & Neurology, Psychiatry | 7 CAMPUS CENTER RD,
KIMBALL UNION ACADEMY HEALTH CENTER MERIDEN, NH, United States |
09-Aug-2011 |
| 1609173160 | ADVANCED COMMUNITY SUPPORT, LLC | Home Health | 12 CASE ST,
SUITE 206 NORWICH, CT, United States |
18-Feb-2011 |
| 1609892298 | ADVANCED DERMATOLOGY LLC | Registered Nurse | 111 SALEM TPKE,
SUITE 7 NORWICH, CT, United States |
15-Jul-2006 |
| 1649482324 | ADVANTAGE DENTAL GROUP, LLC | Dentist, General Practice | 1 CLINIC DR,
NORWICH, CT, United States |
04-May-2007 |
| 1851538466 | LARISSA J AESCHBACHER | Counselor, Mental Health | 4122 COUNTRY HIGHWAY 18,
NEW BERLIN, NY, United States |
20-Jan-2009 |
| 1912247180 | AFFINITY BEHAVIORAL HEALTH, LLC | Social Worker, Clinical | 20 CARVER AVE,
NORWICH, CT, United States |
25-Feb-2013 |
| 1760733786 | FANNY ELENA AGUILAR | Social Worker, Clinical | 401 W. THAMES ST,
SOUTHEASTERN MENTAL HEALTH AUTHORITY, BLDG 301 NORWICH, CT, United States |
01-Oct-2012 |
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FAQs
Whose NPI Number is 1609892298?1609892298 is the NPI number of ADVANCED DERMATOLOGY LLC.
Where is ADVANCED DERMATOLOGY LLC located?ADVANCED DERMATOLOGY LLC is located at 111 SALEM TPKE, NORWICH, CT.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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