ESSEX DERMATOLOGY LLC
NPI 1043378508
Dermatology in Essex, CT

Active since December 05, 2006CLIA 07D2245257 · Waiver
20 SAYBROOK ROAD, ESSEX, CT 06426(860) 767-9998(860) 767-9161 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1043378508
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameESSEX DERMATOLOGY LLC
Location Address20 SAYBROOK ROADEssex, CT 06426-1401
Mailing Address20 Saybrook RoadEssex, CT 06426-1401 · (860) 767-9998 · Fax (860) 767-9161
Fax(860) 767-9161
Organization SubpartNo
Authorized OfficialVirginia L Maher WieseOwner · (860) 767-9998
Enumeration DateDecember 5, 2006
Last NPPES UpdateNovember 15, 2012
NPI 1043378508 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.
20 SAYBROOK ROAD, Essex, CT 06426

Other Identifiers 1

OtherC03091CT · Medicare Id - Group

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 07D2245257

Essex Dermatology LLC · Essex, CT
Active · expires Dec 9, 2027
CLIA Number07D2245257
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorVirginia M. Maher-Wiese
Laboratory Phone(860) 767-9998
Laboratory LocationEssex Dermatology LLC20 Saybrook Rd, Essex, CT 06426
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dermatology
20 SAYBROOK ROAD
ESSEX, CT 06426

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.