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DERMATOLOGY CENTER OF STAMFORD, LLC
NPI 1356343883
Specialist in Stamford, CT

Active since August 15, 2005CLIA 07D0102461 · Microscopy
1290 SUMMER ST, SUITE 3600, STAMFORD, CT 06905(203) 325-3576(203) 325-4280 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology Center Of Stamford, Llc NPPES

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

DERMATOLOGY CENTER OF STAMFORD, LLC (NPI 1356343883) is a healthcare organization registered as a specialist in Stamford, Connecticut and active in the NPI registry since August 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Debra Pruzan-clain, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1356343883
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CENTER OF STAMFORD, LLC
Location Address1290 SUMMER ST, SUITE 3600Stamford, CT 06905-5360
Mailing Address1290 Summer St, Suite 3600Stamford, CT 06905-5360 · (203) 325-3576 · Fax (203) 325-4280
Phone(203) 325-3576
Fax(203) 325-4280
Organization SubpartNo
Authorized OfficialDebra Pruzan-clainPhysician/president · (203) 325-3576
Enumeration DateAugust 15, 2005
Last NPPES UpdateMarch 13, 2015
✔ NPI 1356343883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1290 SUMMER ST, Stamford, CT 06905
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Other Identifiers 2

Medicare PINC02505CT
OtherCF8653CT · Railroad Medicare

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 for Provider-Performed Microscopy Procedures (PPMP) 07D0102461

Dermatology Center Of Stamford · Stamford, CT
Active · expires Aug 31, 2026
CLIA Number07D0102461
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDebra L. Pruzan-Clain MD
Laboratory Phone(203) 325-3576
Laboratory LocationDermatology Center Of Stamford1290 Summer Street, Suite 3600, Stamford, CT 06905
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.

Other Providers at the Same Location NPPES 16

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

DR. SANTI J NEUBERGER M.D.
Internal Medicine
1290 SUMMER ST
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 324-9955
ESTHERIANE AESTHETICS INC
Plastic Surgery
1290 SUMMER ST, SUITE 3100
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-1387
DR. ELIZABETH GAINES-CARDONE M.D.
Dermatology
1290 SUMMER ST, SUITE 3600
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 325-3576
ARTHUR R ROSENSTOCK MD PC
Plastic Surgery
1290 SUMMER ST, SUITE 3100
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-1959
CENTER FOR VEIN RESTORATION CT LLC
Surgery (Vascular Surgery)
1290 SUMMER ST, SUITE 2100
STAMFORD, CT 06905
Western Connecticut Planning Region (240) 965-3271
SUMMER STREET ASC LLC
Clinic/Center (Ambulatory Surgical)
1290 SUMMER ST
STAMFORD, CT 06905
Western Connecticut Planning Region (914) 556-6266
JULIE VASILE, M.D. LLC
Plastic Surgery
1290 SUMMER ST, SUITE 3200
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 965-0656
DR. ARTHUR R ROSENSTOCK MD
Surgery
1290 SUMMER ST, #3100
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 359-1959

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 Dermatology Center Of Stamford, LLC's NPI number?

The NPI number for Dermatology Center Of Stamford, LLC is 1356343883. It was assigned to this organization in the NPPES registry on August 15, 2005.

Where is Dermatology Center Of Stamford, LLC located?

Dermatology Center Of Stamford, LLC is located at 1290 Summer St Suite 3600, Stamford, CT 06905. The listed phone number is (203) 325-3576.

What is Dermatology Center Of Stamford, LLC's specialty?

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

Does Dermatology Center Of Stamford, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0102461) is associated with this NPI, valid through August 31, 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 Dermatology Center Of Stamford, LLC was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.