CONNECTICUT SKIN INSTITUTE – NPI #1013263847
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

CONNECTICUT SKIN INSTITUTE is a dermatologist located in STAMFORD, CT. NPPES has assigned the NPI number 1013263847 to CONNECTICUT SKIN INSTITUTE on July 30, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONNECTICUT SKIN INSTITUTE” is a dba name, the actual legal business name for this organization is OMAR A IBRAHIMI MD PHD LLC. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 3 years ago on Jun 11, 2023. 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 CONNECTICUT SKIN INSTITUTE below.

NPI Profile for
OMAR A IBRAHIMI MD PHD LLC

NPI Number
1013263847
Enumeration Date

(about 14 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
OMAR A IBRAHIMI MD PHD LLC
Doing Business As (dba): CONNECTICUT SKIN INSTITUTE
Primary location
2777 SUMMER ST STE 600
STAMFORD, CT 06905-4323
Phone: (203) 428-4440 Fax: (901) 221-4916
1 Other location(s):
60 Commerce Park Ste C
Milford, CT 06460-3513
Phone: (203) 428-4440
Fax: (901) 221-4916
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OMAR IBRAHIMI
OWNER
Phone: (203) 428-4440
Updated
Certification Date
Jun 11, 2023

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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)		 CT 049530

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.