ON SITE DERMATOLOGY OF CONNECTICUT LLC
NPI 1326473661
Dermatology in Madison, CT

Active since September 05, 2013
1343 BOSTON POST RD APT 101, MADISON, CT 06443(877) 345-5300(561) 989-3665 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About On Site Dermatology Of Connecticut Llc NPPES

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

ON SITE DERMATOLOGY OF CONNECTICUT LLC (NPI 1326473661) is a healthcare organization registered as a dermatology in Madison, Connecticut and active in the NPI registry since September 2013. The organization lists Jeffrey Queen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326473661
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameON SITE DERMATOLOGY OF CONNECTICUT LLC
Location Address1343 BOSTON POST RD APT 101Madison, CT 06443-3481
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000 · Fax (561) 431-2821
Fax(561) 989-3665
Organization SubpartNo
Authorized OfficialJeffrey QueenAdministrator · (561) 314-2000
Enumeration DateSeptember 5, 2013
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1326473661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1343 BOSTON POST RD APT 101, Madison, CT 06443

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)

On Site Dermatology Of Connecticut Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to On Site Dermatology Of Connecticut LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1285733014
10 UNION SQ E SUITE 3C
New York, NY 10003
(212) 844-8800
✔ PECOS84 mi

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

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 On Site Dermatology Of Connecticut LLC's NPI number?

The NPI number for On Site Dermatology Of Connecticut LLC is 1326473661. It was assigned to this organization in the NPPES registry on September 5, 2013.

Where is On Site Dermatology Of Connecticut LLC located?

On Site Dermatology Of Connecticut LLC is located at 1343 Boston Post Rd Apt 101, Madison, CT 06443. The listed phone number is (877) 345-5300.

What is On Site Dermatology Of Connecticut LLC's specialty?

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

Is On Site Dermatology Of Connecticut LLC enrolled in Medicare?

Yes. On Site Dermatology Of Connecticut LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through On Site Dermatology Of Connecticut LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to On Site Dermatology Of Connecticut LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for On Site Dermatology Of Connecticut LLC was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.