ELITE DERMATOLOGY PHYSICIANS PLLC
NPI 1003644402
Dermatology in New Canaan, CT

Active since July 25, 2024CLIA 07D2317708 · Waiver
38 EAST AVE, NEW CANAAN, CT 06840(415) 802-1310 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Dermatology Physicians Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE DERMATOLOGY PHYSICIANS PLLC (NPI 1003644402) is a healthcare organization registered as a dermatology in New Canaan, Connecticut and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Ellen De Moll, Owner, as its authorized official.

NPPES Registry Identity

NPI1003644402
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameELITE DERMATOLOGY PHYSICIANS PLLC
Location Address38 EAST AVENew Canaan, CT 06840-5516
Mailing Address38 East AveNew Canaan, CT 06840-5516
Organization SubpartNo
Authorized OfficialEllen De MollOwner · (203) 200-0523
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
NPI 1003644402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
38 EAST AVE, New Canaan, CT 06840

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2317708

Elite Dermatology Physicians · New Canaan, CT
Active · expires Jan 29, 2027
CLIA Number07D2317708
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorEllen H. De Moll
Laboratory Phone(203) 842-2992
Laboratory LocationElite Dermatology Physicians38 East Ave, New Canaan, CT 06840
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
38 EAST AVE
NEW CANAAN, CT 06840
Family Medicine
38 EAST AVE
NEW CANAAN, CT 06840
Dermatology
38 EAST AVE
NEW CANAAN, CT 06840
Student in an Organized Health Care Education/Training Program
38 EAST AVE
NEW CANAAN, CT 06840
Family Medicine
38 EAST AVE
NEW CANAAN, CT 06840
Physician Assistant (Medical)
38 EAST AVE
NEW CANAAN, CT 06840
Physician Assistant
38 EAST AVE
NEW CANAAN, CT 06840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Dermatology Physicians PLLC's NPI number?

The NPI number for Elite Dermatology Physicians PLLC is 1003644402. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Elite Dermatology Physicians PLLC located?

Elite Dermatology Physicians PLLC is located at 38 East Ave, New Canaan, CT 06840. The listed phone number is (415) 802-1310.

What is Elite Dermatology Physicians PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Elite Dermatology Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2317708) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Dermatology Physicians PLLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.