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CHESHIRE DERMATOLOGY PLLC
NPI 1134319205
Dermatology in Cheshire, CT

Active since July 25, 2007CLIA 07D0678677 · Microscopy
677 S MAIN ST, CHESHIRE, CT 06410(203) 250-7577(203) 250-0739 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cheshire Dermatology Pllc NPPES

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

CHESHIRE DERMATOLOGY PLLC (NPI 1134319205) is a healthcare organization registered as a dermatology in Cheshire, Connecticut and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through April 10, 2028 and lists Dana Marie Correale, Owner, as its authorized official.

NPPES Registry Identity

NPI1134319205
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHESHIRE DERMATOLOGY PLLC
Location Address677 S MAIN STCheshire, CT 06410-3158
Mailing Address677 S Main StCheshire, CT 06410-3158 · (203) 250-7577 · Fax (203) 250-0739
Phone(203) 250-7577
Fax(203) 250-0739
Organization SubpartNo
Authorized OfficialDana Marie CorrealeOwner · (203) 250-7577
Enumeration DateJuly 25, 2007
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1134319205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CT · 029901
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.
677 S MAIN ST, Cheshire, CT 06410
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cheshire Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cheshire Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dana Correale, M.D.
Dermatology
NPI 1598805277
677 S MAIN ST
Cheshire, CT 06410
(203) 250-7577
✔ PECOS✔ Accepts MedicareSame address
Amy Davis, APRN
Nurse Practitioner
NPI 1922044155
55 LOCK STREET
New Haven, CT 06511
(203) 432-0076
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 07D0678677

Cheshire Dermatology PLLC · Cheshire, CT
Active · expires Apr 10, 2028
CLIA Number07D0678677
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDana M. Correale
Laboratory Phone(203) 250-7577
Laboratory LocationCheshire Dermatology PLLC677 South Main Street, Cheshire, CT 06410
CLIA data matches this NPI record on: Address Name 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.

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 Cheshire Dermatology PLLC's NPI number?

The NPI number for Cheshire Dermatology PLLC is 1134319205. It was assigned to this organization in the NPPES registry on July 25, 2007.

Where is Cheshire Dermatology PLLC located?

Cheshire Dermatology PLLC is located at 677 S Main St, Cheshire, CT 06410. The listed phone number is (203) 250-7577.

What is Cheshire Dermatology PLLC's specialty?

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

Is Cheshire Dermatology PLLC enrolled in Medicare?

Yes. Cheshire Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cheshire Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cheshire Dermatology PLLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cheshire Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0678677) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cheshire Dermatology PLLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.