ADVANCED DERMATOLOGY LLC – NPI #1609892298
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.

ADVANCED DERMATOLOGY LLC is a dermatologist located in NORWICH, CT. NPPES has assigned the NPI number 1609892298 to ADVANCED DERMATOLOGY LLC on July 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 previously updated about 18 years ago on Aug 18, 2008. 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 ADVANCED DERMATOLOGY LLC below.

NPI Profile for
ADVANCED DERMATOLOGY LLC

NPI Number
1609892298
Enumeration Date

(about 20 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
ADVANCED DERMATOLOGY LLC
Primary location
111 SALEM TPKE
SUITE 7
NORWICH, CT 06360-6459
Phone: (860) 859-2262 Fax: (860) 859-9819
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOWARD ROGERS
OWNER
Phone: (860) 859-2262
Updated
Identifiers

Identifiers for ADVANCED DERMATOLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSCT222316481
OTHERMEDICARE RAILROADCTDB9913
MEDICAIDCT004182680
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)
CT 038560
163W00000X
- Registered Nurse
CT 002932

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.