MDLIVE MEDICAL GROUP DE PA – NPI #1518605955
Dermatology

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.

MDLIVE MEDICAL GROUP DE PA is a dermatologist located in BLOOMFIELD, CT. NPPES has assigned the NPI number 1518605955 to MDLIVE MEDICAL GROUP DE PA on May 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Feb 25, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MDLIVE MEDICAL GROUP DE PA below.

NPI Profile for
MDLIVE MEDICAL GROUP DE PA

NPI Number
1518605955
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MDLIVE MEDICAL GROUP DE PA
Primary location
900 COTTAGE GROVE RD
BLOOMFIELD, CT 06002-2920
Phone: (800) 400-6354 Fax:
1 Other location(s):
3350 SW 148th Ave Ste 300
Miramar, FL 33027-3259
Phone: (800) 400-6354
Mailing address
3350 SW 148TH AVE STE 300
MIRAMAR, FL 33027-3259
Phone: Fax:
Organization Subpart
Yes - MDLIVE MEDICAL GROUP DE PA is subpart of another organization.
Authorized Official
SUE-ANN ADRIANS
GOVERNMENT PROGRAMS PM
Phone: (945) 275-1345
Updated
Certification Date
Feb 25, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.