ADULT & PEDIATRIC DERMATOLOGY SPECIALISTS, P.C.
NPI 1013035138
Dermatology in Trumbull, CT

Active since March 27, 2007
160 HAWLEY LN, SUITE 104, TRUMBULL, CT 06611(203) 377-0639(203) 386-9706 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Adult & Pediatric Dermatology Specialists, P.c. NPPES

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

ADULT & PEDIATRIC DERMATOLOGY SPECIALISTS, P.C. (NPI 1013035138) is a healthcare organization registered as a dermatology in Trumbull, Connecticut and active in the NPI registry since March 2007. The organization lists Cindy Peterson, Practicing Administrator, as its authorized official.

NPPES Registry Identity

NPI1013035138
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADULT & PEDIATRIC DERMATOLOGY SPECIALISTS, P.C.
Location Address160 HAWLEY LN, SUITE 104Trumbull, CT 06611-5300
Mailing Address160 Hawley Ln, Suite 104Trumbull, CT 06611-5300 · (203) 377-0639 · Fax (203) 386-9706
Fax(203) 386-9706
Organization SubpartNo
Authorized OfficialCindy PetersonPracticing Administrator · (203) 377-0639
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 16, 2008
✔ NPI 1013035138 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.
160 HAWLEY LN, Trumbull, CT 06611

Other Identifiers 1

Medicare PINC00309CT

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adult & Pediatric Dermatology Specialists, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Adult & Pediatric Dermatology Specialists, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Dermatology
NPI 1700375235
160 HAWLEY LN
Trumbull, CT 06611
(203) 377-0639
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1174548838
160 HAWLEY LN SUITE 104
Trumbull, CT 06611
(203) 377-0639
✔ PECOSSame address
Dermatology
NPI 1609892371
160 HAWLEY LN
Trumbull, CT 06611
(203) 377-0639
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1982629655
160 HAWLEY LN SUITE 104
Trumbull, CT 06611
(203) 377-0639
✔ PECOSSame address
Dermatology
NPI 1952327629
160 HAWLEY LN SUITE 104
Trumbull, CT 06611
(203) 377-0639
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1689254567
160 HAWLEY LN
Trumbull, CT 06611
(203) 377-0639
✔ PECOSSame address
Dermatology
NPI 1578140554
162 KINGS HWY N
Westport, CT 06880
(475) 471-1050
✔ PECOS✔ Accepts Medicare13 mi
Pathology
NPI 1184614331
5 PERRYRIDGE RD DEPARTMENT OF PATHOLOGY
Greenwich, CT 06830
(203) 863-3927
✔ PECOS✔ Accepts Medicare29 mi
Dermatology
NPI 1255890463
35 E 35TH ST RM 208
New York, NY 10016
(212) 283-3000
✔ PECOS✔ Accepts Medicare55 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 07D0883635

Adult & Pediatric Dermatology Specialists, PC · Trumbull, CT
Expired · Oct 17, 2026
CLIA Number07D0883635
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorAlexander Fogel
Laboratory Phone(203) 377-0639
Laboratory LocationAdult & Pediatric Dermatology Specialists, PC160 Hawley Lane, Trumbull, CT 06611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 07D0884441

Adult & Pediatric Dermatology Specialists PC · Westport, CT
Expired · Oct 10, 2026
CLIA Number07D0884441
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorAlexander Fogel
Laboratory Phone(203) 377-0639
Laboratory LocationAdult & Pediatric Dermatology Specialists PC162 Kings Highway North, Westport, CT 06880
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Adult & Pediatric Dermatology Specialists, P.C.'s NPI number?

The NPI number for Adult & Pediatric Dermatology Specialists, P.C. is 1013035138. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Adult & Pediatric Dermatology Specialists, P.C. located?

Adult & Pediatric Dermatology Specialists, P.C. is located at 160 Hawley Ln Suite 104, Trumbull, CT 06611. The listed phone number is (203) 377-0639.

What is Adult & Pediatric Dermatology Specialists, P.C.'s specialty?

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

Is Adult & Pediatric Dermatology Specialists, P.C. enrolled in Medicare?

Yes. Adult & Pediatric Dermatology Specialists, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adult & Pediatric Dermatology Specialists, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Adult & Pediatric Dermatology Specialists, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (8) and Pathology (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Adult & Pediatric Dermatology Specialists, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Adult & Pediatric Dermatology Specialists, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adult & Pediatric Dermatology Specialists, P.C. was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.