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CONNOLLY DERMATOLOGY
NPI 1053367516
Dermatology in Linwood, NJ

Active since May 26, 2006CLIA 31D2070721 · Certificate of Compliance
2106 NEW RD, SUITE D4, LINWOOD, NJ 08221(609) 926-8899(609) 926-6474 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connolly Dermatology NPPES

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

CONNOLLY DERMATOLOGY (NPI 1053367516) is a healthcare organization registered as a dermatology in Linwood, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2026 and lists Coyle S Connolly, President, as its authorized official.

NPPES Registry Identity

NPI1053367516
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOYLE S CONNOLLY DO PA
Location Address2106 NEW RD, SUITE D4Linwood, NJ 08221-1046
Mailing Address2099 New Albany RdCinnaminson, NJ 08077-3534 · (609) 926-8899 · Fax (609) 653-8713
Phone(609) 926-8899
Fax(609) 926-6474
Organization SubpartNo
Authorized OfficialCoyle S ConnollyPresident · (609) 926-8899
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1053367516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MB06289800
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.
2106 NEW RD, Linwood, NJ 08221
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Other Names 1

Other NameConnolly Dermatology

Other Identifiers 1

OtherDE5501NJ · Medicare Railroad

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 Compliance 31D2070721

Coyle S Connolly, Do PA · Cinnaminson, NJ
Active · expires Aug 20, 2026
CLIA Number31D2070721
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorCoyle S. Connolly
Laboratory Phone(609) 926-8899
Laboratory LocationCoyle S Connolly, Do PA2099 New Albany Road, Cinnaminson, NJ 08077
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.

Other Providers at the Same Location NPPES 20

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

SUSAN MADELEINE GUERRA FNP
Nurse Practitioner (Family)
2106 NEW RD, SUITE D4
LINWOOD, NJ 08221
Atlantic County (609) 926-8899
HEALTHY PRO LLC
Nurse Practitioner (Family)
2106 NEW RD
LINWOOD, NJ 08221
Atlantic County (609) 926-5451
JOSEPH D. BARBELLA JR DO LLC
Anesthesiology (Pain Medicine)
2106 NEW RD, SUITE D-6
LINWOOD, NJ 08221
Atlantic County (609) 927-1188
LAUREN CINCOTTA PA-C
Physician Assistant (Medical)
2106 NEW RD, STE D4
LINWOOD, NJ 08221
Atlantic County (609) 926-8899
ROBERT CHORNEY PSYD AT NEW ROADS LLC
Psychologist
2106 NEW RD, SUITE F3
LINWOOD, NJ 08221
Atlantic County (609) 926-1165
ALTMAN FAMILY CHIROPRACTIC, PA
Chiropractor
2106 NEW RD, SUITE D2
LINWOOD, NJ 08221
Atlantic County (609) 927-7922
L.C. JANES, D.O., P.C.
Family Medicine
2106 NEW RD, SUITE D7
LINWOOD, NJ 08221
Atlantic County (609) 653-2101
MR. SEAN ALAN ADAIR PA-C
Physician Assistant (Medical)
2106 NEW RD, SUITE D-4
LINWOOD, NJ 08221
Atlantic County (609) 926-8899

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 Coyle S Connolly Do PA's NPI number?

The NPI number for Coyle S Connolly Do PA is 1053367516. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is also known as Connolly Dermatology.

Where is Coyle S Connolly Do PA located?

Coyle S Connolly Do PA is located at 2106 New Rd Suite D4, Linwood, NJ 08221. The listed phone number is (609) 926-8899.

What is Coyle S Connolly Do PA's specialty?

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

Does Coyle S Connolly Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2070721) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coyle S Connolly Do PA was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.