SKIN CANCER CENTER OF FAIRFIELD COUNTY PC
NPI 1063787786
Specialist in Norwalk, CT

Active since March 13, 2012CLIA 07D2044353 · Certificate of Compliance
148 EAST AVE STE 3B, NORWALK, CT 06851(917) 821-3079 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Skin Cancer Center Of Fairfield County Pc NPPES

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

SKIN CANCER CENTER OF FAIRFIELD COUNTY PC (NPI 1063787786) is a healthcare organization registered as a specialist in Norwalk, Connecticut and active in the NPI registry since March 2012. The organization holds a CLIA Certificate of Compliance certificate valid through November 25, 2026 and lists Andrew Herbst, Owner, as its authorized official.

NPPES Registry Identity

NPI1063787786
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSKIN CANCER CENTER OF FAIRFIELD COUNTY PC
Location Address148 EAST AVE STE 3BNorwalk, CT 06851-5726
Mailing Address148 East Ave Ste 3bNorwalk, CT 06851-5726 · (917) 821-3079
Organization SubpartNo
Authorized OfficialAndrew HerbstOwner · (917) 821-3079
Enumeration DateMarch 13, 2012
NPI 1063787786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CT · 044188
Definition
An 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.
148 EAST AVE STE 3B, Norwalk, CT 06851

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 07D2044353

Skin Cancer Center Of Fairfield County, The · Norwalk, CT
Active · expires Nov 25, 2026
CLIA Number07D2044353
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorAndrew Herbst
Laboratory Phone(203) 957-3535
Laboratory LocationSkin Cancer Center Of Fairfield County, The148 East Ave, Suite 3B, Norwalk, CT 06851
CLIA data matches this NPI record on: Address Name
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

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

Physician Assistant
148 EAST AVE STE 3B
NORWALK, CT 06851

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 Skin Cancer Center Of Fairfield County PC's NPI number?

The NPI number for Skin Cancer Center Of Fairfield County PC is 1063787786. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Skin Cancer Center Of Fairfield County PC located?

Skin Cancer Center Of Fairfield County PC is located at 148 East Ave Ste 3B, Norwalk, CT 06851. The listed phone number is (917) 821-3079.

What is Skin Cancer Center Of Fairfield County PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Skin Cancer Center Of Fairfield County PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D2044353) is associated with this NPI, valid through November 25, 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 Skin Cancer Center Of Fairfield County PC was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.