ESSEX DERMATOLOGY LLC
NPI 1043378508
Dermatology in Essex, CT
About Essex Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSEX DERMATOLOGY LLC (NPI 1043378508) is a healthcare organization registered as a dermatology in Essex, Connecticut and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Virginia L Maher Wiese, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 07D2245257
Essex Dermatology LLC · Essex, CTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Essex Dermatology LLC's NPI number?
The NPI number for Essex Dermatology LLC is 1043378508. It was assigned to this organization in the NPPES registry on December 5, 2006.
Where is Essex Dermatology LLC located?
Essex Dermatology LLC is located at 20 Saybrook Road, Essex, CT 06426. The listed phone number is (860) 767-9998.
What is Essex Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Essex Dermatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2245257) is associated with this NPI, valid through December 9, 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 Essex Dermatology LLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.