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ADVANCED DERMCARE PC
NPI 1023068087
Dermatology in Danbury, CT

Active since May 11, 2006CLIA 07D0100947 · Certificate of Compliance
25 TAMARACK AVE, ADVANCED DERM CARE PC, DANBURY, CT 06811(203) 797-8990(203) 748-7861 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Advanced Dermcare Pc NPPES

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

ADVANCED DERMCARE PC (NPI 1023068087) is a healthcare organization registered as a dermatology in Danbury, Connecticut and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 18, 2028 and lists Diane Edmond, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1023068087
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMCARE PC
Location Address25 TAMARACK AVE, ADVANCED DERM CARE PCDanbury, CT 06811
Mailing Address25 Tamarack AveDanbury, CT 06811-4829 · (203) 797-8990 · Fax (203) 748-7861
Phone(203) 797-8990
Fax(203) 748-7861
Organization SubpartNo
Authorized OfficialDiane EdmondCredentialing · (203) 731-2207
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1023068087 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.
25 TAMARACK AVE, Danbury, CT 06811
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Other Identifiers 1

Medicaid004395390CT

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Advanced Dermcare PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology8
Nurse Practitioner3
Micrographic Dermatologic Surgery (MDS)1

Clinicians, nearest first (12)

Regina Chimileski, APRN
Nurse Practitioner
NPI 1598479586
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Marimeg Clairwood, M.D.
Dermatology
NPI 1164719043
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Mona Gohara, MD
Dermatology
NPI 1679523450
25 TAMARACK AVE ADVANCED DERM CARE PC
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Graeme Lipper, MD
Dermatology
NPI 1154371904
25 TAMARACK AVE ADVANCED DERM CARE PC
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Rebecca Liu, MD
Dermatology
NPI 1912585001
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Erin Lowe, D.O.
Dermatology
NPI 1528416633
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Alyssa Miceli, D.O.
Dermatology
NPI 1497136758
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Jillian Philbin, MSN, APRN, NP-C
Nurse Practitioner
NPI 1841634227
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Jonathan Zirn, MD
Dermatology
NPI 1306896287
25 TAMARACK AVE ADVANCED DERM CARE PC
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Grace Federman, MD
Dermatology
NPI 1033160924
25 TAMARACK AVE ADVANCED DERM CARE PC
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts MedicareSame address
Michael Jacobson, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1649352964
1051 LONG RIDGE RD
Stamford, CT 06903
(203) 329-7960
✔ PECOS✔ Accepts Medicare22 mi
Nicole Strand, NP-C
Nurse Practitioner
NPI 1407367212
235 BOSTON POST RD STE 201
Orange, CT 06477
(203) 865-6143
✔ PECOS✔ Accepts Medicare25 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

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 07D0100947

Advanced Dermcare PC · Danbury, CT
Active · expires Apr 18, 2028
CLIA Number07D0100947
Laboratory TypeIndependent
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorJonathan R. Zirn
Laboratory Phone(203) 797-8990
Laboratory LocationAdvanced Dermcare PC25 Tamarack Avenue, Danbury, CT 06811
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.

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 Advanced Dermcare PC's NPI number?

The NPI number for Advanced Dermcare PC is 1023068087. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Advanced Dermcare PC located?

Advanced Dermcare PC is located at 25 Tamarack Ave Advanced Derm Care PC, Danbury, CT 06811. The listed phone number is (203) 797-8990.

What is Advanced Dermcare PC's specialty?

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

Is Advanced Dermcare PC enrolled in Medicare?

Yes. Advanced Dermcare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Dermcare PC. 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), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D0100947) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Dermcare PC was last updated on March 6, 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.