ADVANCED DERMAESTHETICS
NPI 1356774897
Dermatology in New Canaan, CT

Active since August 20, 2013
39 PINE ST, NEW CANAAN, CT 06840(203) 972-7546(203) 972-5937 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dermatology

About ADVANCED DERMAESTHETICS

This page provides the complete NPI Profile along with additional information for Advanced Dermaesthetics, a provider established in New Canaan, Connecticut operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1356774897 assigned on August 2013. The practitioner's primary taxonomy code is 207N00000X with license number 27844 (CT). The provider is registered as an organization and their NPI record was last updated 8 years ago. Advanced Dermaesthetics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Advanced Dermaesthetics. The authorized official of this NPI record is Dr. Maritza Ivonne Perez Md (President)

NPI
1356774897 Verify this NPI
Provider Legal Name
TULLA PEREZ INC
Other Organization Name
ADVANCED DERMAESTHETICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
39 PINE ST NEW CANAAN, CT 06840
Location Phone
(203) 972-7546
Location Fax
(203) 972-5937
Mailing Address
38 TOMMYS LN NEW CANAAN, CT 06840
Mailing Phone
(203) 972-3802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2013
Last Update Date
04-11-2018
Code Navigator

A dermatologist like Advanced Dermaesthetics is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
27844
License State
CT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

27844 (CT)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARITZA IVONNE PEREZ MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(203) 984-3101

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
39 PINE ST
NEW CANAAN, CT 06840
Dermatology
39 PINE ST
NEW CANAAN, CT 06840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356774897, enumerated as an "organization" on August 20, 2013.

The provider is located at 39 PINE ST NEW CANAAN, CT 06840 and the phone number is (203) 972-7546.

Dermatology with taxonomy code 207N00000X.