1. Home
  2. Directory
  3. Connecticut
  4. Stamford
  5. Specialist
  6. NPI Profile

LONG RIDGE DERMATOLOGY,LLC
NPI 1326100553
Specialist in Stamford, CT

Active since December 14, 2006CLIA 07D1105416 · Certificate of Compliance
1051 LONG RIDGE RD, STAMFORD, CT 06903(203) 329-7960(203) 329-7920 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Long Ridge Dermatology,llc NPPES

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

LONG RIDGE DERMATOLOGY,LLC (NPI 1326100553) is a healthcare organization registered as a specialist in Stamford, Connecticut and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 27, 2026 and lists Patty Quick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326100553
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONG RIDGE DERMATOLOGY,LLC
Location Address1051 LONG RIDGE RDStamford, CT 06903-4436
Mailing Address1051 Long Ridge RdStamford, CT 06903-4436 · (203) 329-7960 · Fax (203) 329-7920
Phone(203) 329-7960
Fax(203) 329-7920
Organization SubpartNo
Authorized OfficialPatty QuickOffice Manager · (203) 329-7960
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326100553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 035805
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.
1051 LONG RIDGE RD, Stamford, CT 06903
Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Ridge Dermatology,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Long Ridge Dermatology,llc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Rena Fortier, MD
Dermatology
NPI 1396730610
1051 LONG RIDGE RD
Stamford, CT 06903
(203) 329-7960
✔ PECOS✔ Accepts MedicareSame address
Michael Jacobson, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1649352964
1051 LONG RIDGE RD
Stamford, CT 06903
(203) 329-7960
✔ PECOS✔ Accepts MedicareSame address
Donald Savitz, M.D.
Dermatology
NPI 1407849912
1051 LONG RIDGE RD
Stamford, CT 06903
(203) 329-7960
✔ PECOS✔ Accepts MedicareSame address
Gary Letts, M.D.
Pathology
NPI 1124235437
148 EAST AVE STE 2D
Norwalk, CT 06851
(203) 832-3737
✔ PECOS✔ Accepts Medicare8.2 mi
Elgida Volpicelli, M.D.
Pathology
NPI 1376778761
111 CYPRESS ST
Brookline, MA 02445
(617) 582-1193
✔ PECOS✔ Accepts Medicare152 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 of Compliance 07D1105416

Long Ridge Dermatology · Stamford, CT
Active · expires Oct 27, 2026
CLIA Number07D1105416
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDonald A. Savitz
Laboratory Phone(203) 329-7960
Laboratory LocationLong Ridge Dermatology1051 Long Ridge Rd, Stamford, CT 06903
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.

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 Long Ridge Dermatology,llc's NPI number?

The NPI number for Long Ridge Dermatology,llc is 1326100553. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Long Ridge Dermatology,llc located?

Long Ridge Dermatology,llc is located at 1051 Long Ridge Rd, Stamford, CT 06903. The listed phone number is (203) 329-7960.

What is Long Ridge Dermatology,llc's specialty?

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

Is Long Ridge Dermatology,llc enrolled in Medicare?

Yes. Long Ridge Dermatology,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Ridge Dermatology,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Long Ridge Dermatology,llc, in Dermatology, Micrographic Dermatologic Surgery (MDS) and Pathology. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Ridge Dermatology,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D1105416) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Long Ridge Dermatology,llc accept?

Health plans from Anthem Blue Cross and Blue Shield list Long Ridge Dermatology,llc 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 Long Ridge Dermatology,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.