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FOREFRONT DERMATOLOGY, S.C.
NPI 1063641249
Dermatology in New London, WI

Active since July 08, 2009CLIA 52D1102904 · Microscopy
1620 N SHAWANO ST, SUITE C, NEW LONDON, WI 54961(920) 982-3870(920) 982-3697 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1063641249) is a healthcare organization registered as a dermatology in New London, Wisconsin and active in the NPI registry since July 2009. The organization holds a CLIA Microscopy certificate valid through July 27, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1063641249
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address1620 N SHAWANO ST, SUITE CNew London, WI 54961
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 683-5278 · Fax (920) 686-9674
Phone(920) 982-3870
Fax(920) 982-3697
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJuly 8, 2009
Last NPPES UpdateMay 17, 20182 updates tracked since enumeration
✔ NPI 1063641249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1620 N SHAWANO ST, New London, WI 54961
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Other Identifiers 2

Medicaid1093044950WI
Other000017140WI · Medicare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 52D1102904

Forefront Dermatology, Sc · New London, WI
Active · expires Jul 27, 2027
CLIA Number52D1102904
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Peter J. Katz
Laboratory Phone(920) 982-3870
Laboratory LocationForefront Dermatology, Sc1620 N Shawano St Ste C, New London, WI 54961
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

DR. CARISSA MARIE JAECKS D.C.
Chiropractor
1620 N SHAWANO ST, STE E
NEW LONDON, WI 54961
Waupaca County (920) 982-5533
ORTHOPEDIC & SPINE THERAPY OF NEW LONDON, SC
Durable Medical Equipment & Medical Supplies
1620 N SHAWANO ST
NEW LONDON, WI 54961
Waupaca County (920) 982-3670
PAMELA J. ST. CLAIR P.T.
Physical Therapist
1620 N SHAWANO ST
NEW LONDON, WI 54961
Waupaca County (920) 982-3670

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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1063641249. It was assigned to this organization in the NPPES registry on July 8, 2009.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 1620 N Shawano St Suite C, New London, WI 54961. The listed phone number is (920) 982-3870.

What is Forefront Dermatology, S.C.'s specialty?

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

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D1102904) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Forefront Dermatology, S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forefront Dermatology, S.C. was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.