INTEGRATED DERMATOLOGY OF VERNON, PLLC


Address: 357 Hartford Tpke Fl 2, Vernon, CT 06066-4838
Phone: 8608719441

INTEGRATED DERMATOLOGY OF VERNON, PLLC (NPI# 1063055853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063055853
Entity Type Organization
Organization Name INTEGRATED DERMATOLOGY OF VERNON, PLLC
Practice Address 357 Hartford Tpke Fl 2
Vernon
CT 06066-4838
Mailing Address 4700 Exchange Ct Ste 110
Boca Raton
FL 33431-4450
Practice Telephone 8608719441
Mailing Telephone 5613142000
Mailing Fax Number 5614312821
Enumeration Date 2019-10-24
Last Update Date 2019-10-24
Authorized Official Name ANIMESH SINHA (AUTHORIZED GROUP OFFICIAL)
Authorized Official Telephone 5613142000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations INTEGRATED DERMATOLOGY OF VERNON, PLLC 4700 Exchange Court, Suite 110, Boca Raton, FL 33431

Office Location

Street Address 357 HARTFORD TPKE FL 2
City VERNON
State CT
Zip Code 06066-4838

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659992204 Kumeh Bestman Social Worker 41 Jeff Road, Vernon, CT 06066 2020-05-05
1114567922 Irina Bratan Nurse Practitioner 35 Talcottvile Road, Vernon, CT 06066 2020-01-09
1457833899 Jessica Elizabeth Navallil Pharmacist 188 Union Street, Vernon, CT 06066 2018-09-02
1528557709 Andre Spence Counselor 66 Orchard St, Vernon, CT 06066 2018-05-03
1992207468 Myeyedr Optometry of Connecticut, LLC Optometrist 400-1 Talcottville Rd, Vernon, CT 06066 2018-03-01
1811425754 Patricia Cosgrove Barresi Occupational Therapy Assistant 1253 Hartford Turnpike, Vernon, CT 06066 2017-05-23
1922539592 Ctuc01 Clinic/Center 179 Talcottville Rd, Vernon, CT 06066 2017-03-24
1558804070 First Choice Health Centers, Inc. Clinic/Center 94 Union Sreet, 2nd Floor, Vernon, CT 06066 2016-12-01
1235685504 Lotus Behavioral Consultation Day Training, Developmentally Disabled Services 3 Raymond Street, Vernon, CT 06066 2016-08-28
1891179537 Heather Deal Nurse Practitioner 347 Hartford Turnpike, Vernon, CT 06066 2015-07-13
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023026010 Debra Ann Vinick Dermatology 357 Hartford Turnpike, New England Dermatology Associates, Vernon, CT 06066 2006-08-04
1831197474 New England Dermatology Associates, Inc. Dermatology 357 Hartford Tpke, Vernon, CT 06066-4838 2005-07-08
1255338836 Robert David Greenberg Dermatology 357 Hartford Tpke, Vernon, CT 06066-4838 2005-06-28
1134125834 Laurie Ann Bain Dermatology 357 Hartford Tpke, Vernon, CT 06066-4838 2005-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477175966 Young Skin Dermatology 1111 Summer St, Stamford, CT 06905-5508 2020-05-07
1922633213 The Dermatology Center of Connecticut, LLC Dermatology 60 Church St Unit 4b, Wallingford, CT 06492-2340 2020-03-06
1023663424 Dermatology Solutions, LLC Dermatology 35 E Main St Ste 118, Avon, CT 06001-3845 2019-08-03
1407374481 Center for Skin Surgery & Dermatology, Pllc Dermatology 2928 Main St Ste 100, Glastonbury, CT 06033-1007 2017-08-30
1962933572 Daniel Mark Klufas Dermatology 64 Tuckahoe Rd, Easton, CT 06612-2054 2017-03-24
1912446782 Associates In Medical & Cosmetic Dermatology, PC Dermatology 9 Washington Avenue, Hamden, CT 06518 2017-02-14
1457728883 Integrated Dermatology of Clinton,llc Dermatology 8 E Main St Ste 101, Clinton, CT 06413-2058 2015-09-02
1760873210 Nicholas V Perricone Dermatology 639 Research Pkwy, Meriden, CT 06450-7154 2015-02-05
1497160535 Dean David George Dermatology 399 Farmington Ave Ste 260, Farmington, CT 06032-1979 2014-06-27
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
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Competitor

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City VERNON
Zip Code 06066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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