FAIRFIELD DERMATOLOGY, P.C. NPI 1023295524

Specialist in Fairfield, CT

NPI 1023295524 Organization Specialist

About FAIRFIELD DERMATOLOGY, P.C.

Fairfield Dermatology, P.c. is a provider established in Fairfield, Connecticut specializing in specialist. The NPI number of Fairfield Dermatology, P.c. is 1023295524 and was assigned on January 2008. The practitioner's primary taxonomy code is 174400000X with license number 14371 (CT). The provider is registered as an organization and their NPI record was last updated 3 years ago. Fairfield Dermatology, P.c. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ivan S. Cohen M.d. (President)

NPI

1023295524

Provider NameFAIRFIELD DERMATOLOGY, P.C.
Provider Location Address1305 POST RD 310 FAIRFIELD, CT 06824
Provider Mailing Address1305 POST RD 310 FAIRFIELD, CT 06824
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-28-2008
Last Update Date10-03-2018


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.14371
License StateCT
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

FAIRFIELD DERMATOLOGY, P.C.
1305 POST RD
310
FAIRFIELD, CT
ZIP 06824
Phone: (203) 259-7709
Fax: (203) 255-3585

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Mailing Address

FAIRFIELD DERMATOLOGY, P.C.
1305 POST RD
310
FAIRFIELD, CT
ZIP 06824
Phone: (203) 259-7709
Fax: (203) 255-3585



Authorized Official

Authorized Official NameDR. IVAN S. COHEN M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(203) 259-7709

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C02974OTHER (01)CT

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023116282MS. HELAINE A ALTBAUM LCSW
Individual
Social Worker (Clinical)1305 POST RD SUITE 205
FAIRFIELD, CT 06824
(203) 256-1605
1053432765 LAURA J CARAMORE OTR L
Individual
Occupational Therapist1305 POST RD SUITE 100
FAIRFIELD, CT 06824
(203) 767-0981
1063417095CARDIAC SPECIALISTS, P.C.
Organization
Specialist1305 POST RD
FAIRFIELD, CT 06824
(203) 292-2000
1093877946DR. PAUL DENGELEGI DMD
Individual
Dentist (Prosthodontics)1305 POST RD STE 200
FAIRFIELD, CT 06824
(203) 255-9399
1225138506MS. BATYA LEVY SILVERMAN MASTERS DEGREE MA LM
Individual
Marriage & Family Therapist1305 POST RD SUITE 205
FAIRFIELD, CT 06824
(203) 367-6651
1376517631 MARIE MCCORMICK APRN
Individual
Nurse Practitioner1305 POST RD LOWER LEVEL
FAIRFIELD, CT 06824
(203) 292-2000
1396740346 LINDA R. CASALE M.D.
Individual
Internal Medicine (Cardiovascular Disease)1305 POST RD
FAIRFIELD, CT 06824
(203) 292-2000
1487692174FAIRFIELD ORAL SURGERY, LLC
Organization
Clinic/Center (Dental)1305 POST RD SUITE 303
FAIRFIELD, CT 06824
(203) 259-2227
1538106299 ROBERT D WINSLOW M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)1305 POST RD CARDIAC SPECIALISTS
FAIRFIELD, CT 06824
(203) 292-2000
1649275462 RICHARD L. TAIKOWSKI M.D.
Individual
Internal Medicine (Cardiovascular Disease)1305 POST RD
FAIRFIELD, CT 06824
(203) 292-2000
1679578496 ROBERT M. MOSKOWITZ M.D.
Individual
Internal Medicine (Cardiovascular Disease)1305 POST RD
FAIRFIELD, CT 06824
(203) 292-2000
1689672016DR. RICHARD ARTHUR MALDIN DPM
Individual
Podiatrist1305 POST RD
FAIRFIELD, CT 06824
(203) 255-4618
1710044813 JUDY MARY BONADIO LCSW
Individual
Social Worker (Clinical)1305 POST RD SUITE 206
FAIRFIELD, CT 06824
(203) 255-0642
1740228824DR. LAWRENCE J FLIEGELMAN M.D.
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)1305 POST RD SUITE 302
FAIRFIELD, CT 06824
(203) 259-4700
1750351995 SCOTT CHRISTOPHER THORNTON MD
Individual
Colon & Rectal Surgery1305 POST RD SUITE 215
FAIRFIELD, CT 06824
(203) 255-7088
1821062175 KATHLEEN R BONAVENTURA APRN
Individual
Nurse Practitioner1305 POST RD
FAIRFIELD, CT 06824
(203) 292-2000
1871559781MR. ROBERT D WETHING LMFT
Individual
Marriage & Family Therapist1305 POST RD SUITE 206
FAIRFIELD, CT 06824
(203) 255-0642
1952411704 MURALI CHIRAVURI MD PHD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)1305 POST RD CARDIAC SPECIALISTS, P.C.
FAIRFIELD, CT 06824
(203) 292-0808
1952497091MRS. LAKIN H SHOSTAK PAC
Individual
Physician Assistant1305 POST RD #103
FAIRFIELD, CT 06824
(203) 319-0700
1972559391DR. TODD EVAN BLOOM M.S., D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)1305 POST RD SUITE 303
FAIRFIELD, CT 06824
(203) 259-2227

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.