EASTERN CONNECTICUT DERMATOLOGY
NPI 1265868558
Dermatology in Groton, CT
About Eastern Connecticut Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN CONNECTICUT DERMATOLOGY (NPI 1265868558) is a healthcare organization registered as a dermatology in Groton, Connecticut and active in the NPI registry since September 2013. The organization holds a CLIA Microscopy certificate valid through February 9, 2028 and lists Jeffrey D. Queen, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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) 07D0095280
Integrated Dermatology Of Groton · Groton, CTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Integrated Dermatology Of Groton LLC's NPI number?
The NPI number for Integrated Dermatology Of Groton LLC is 1265868558. It was assigned to this organization in the NPPES registry on September 19, 2013. The provider is doing business as Eastern Connecticut Dermatology.
Where is Integrated Dermatology Of Groton LLC located?
Integrated Dermatology Of Groton LLC is located at 481 Gold Star Hwy Ste 201, Groton, CT 06340. The listed phone number is (860) 445-8020.
What is Integrated Dermatology Of Groton LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Integrated Dermatology Of Groton LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0095280) is associated with this NPI, valid through February 9, 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 Integrated Dermatology Of Groton LLC was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.