DERMASOLOGY – NPI #1578362380
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Health Care Provider Taxonomy Code for Specialist/Technologist, Other

DERMASOLOGY is a technologist located in GLASTONBURY, CT. NPPES has assigned the NPI number 1578362380 to DERMASOLOGY on March 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246Z00000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other.

The NPI profile was last updated on Aug 21, 2025. 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 DERMASOLOGY below.

NPI Profile for
DERMASOLOGY

NPI Number
1578362380
Enumeration Date

(more than a year 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
DERMASOLOGY
Primary location
39 NEW LONDON TPKE STE 218
GLASTONBURY, CT 06033-4208
Phone: (407) 982-4876 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER WILLIAMS
ADMINISTRATOR
Phone: (407) 982-4876
Updated
Certification Date
Aug 21, 2025

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
246Z00000X
- Specialist/Technologist, Other (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.