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CENTRAL CONNECTICUT DERMATOLOGY, PLLC
NPI 1407313984
Dermatology in Cromwell, CT

Active since February 21, 2019CLIA Certified · 6 labs
1 WILLOWBROOK RD STE 2, CROMWELL, CT 06416(860) 322-2222(860) 322-6838 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jun 13, 2023, Feb 21, 2019 (3 updates tracked since 2019).

About Central Connecticut Dermatology, Pllc NPPES

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

CENTRAL CONNECTICUT DERMATOLOGY, PLLC (NPI 1407313984) is a healthcare organization registered as a dermatology in Cromwell, Connecticut and active in the NPI registry since February 2019. The organization holds 6 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Bruce E Strober, Provider, as its authorized official.

NPPES Registry Identity

NPI1407313984
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTRAL CONNECTICUT DERMATOLOGY, PLLC
Location Address1 WILLOWBROOK RD STE 2Cromwell, CT 06416-1745
Mailing Address1 Willowbrook Rd Ste 2Cromwell, CT 06416-1745 · (860) 322-2222 · Fax (860) 322-6838
Phone(860) 322-2222
Fax(860) 322-6838
Organization SubpartNo
Authorized OfficialBruce E StroberProvider · (860) 322-2222
Enumeration DateFebruary 21, 2019
Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1407313984 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.
1 WILLOWBROOK RD STE 2, Cromwell, CT 06416
Open in Google Maps ↗

Secondary Practice Locations 5

Location 130 Knotter DriveSouthington, CT 06489 · Phone (860) 400-2000 · Fax (860) 400-3000
Location 240 Dale Rd Ste 100Avon, CT 06001-3692 · Phone (860) 322-2222
Location 3499 Farmington Ave Ste 230Farmington, CT 06032-1933 · Phone (860) 322-2222
Location 41 Northwestern Dr Ste 301Bloomfield, CT 06002-3400 · Phone (860) 322-2222
Location 5340 Buckland Rd Fl 2South Windsor, CT 06074-3725 · Phone (860) 322-2222 · Fax (860) 322-6838

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 6

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) 07D2186465

Central Connecticut Dermatology · Avon, CT
Active · expires Jun 16, 2028
CLIA Number07D2186465
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorJustin E. Finch
Laboratory Phone(860) 322-2222
Laboratory LocationCentral Connecticut Dermatology40 Dale Rd, Ste 100, Avon, CT 06001
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.

Certificate of Compliance 07D2210603

Central Connecticut Dermatology Bloomfield · Bloomfield, CT
Active · expires Sep 26, 2027
CLIA Number07D2210603
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorJames D. Whalen
Laboratory Phone(860) 400-2000
Laboratory LocationCentral Connecticut Dermatology Bloomfield1 Northwestern Dr, Ste 301, Bloomfield, CT 06002
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.

Certificate of Compliance 07D2167761

Central Connecticut Dermatology · Southington, CT
Active · expires Jun 7, 2027
CLIA Number07D2167761
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorHanspaul S. Makkar
Laboratory Phone(860) 400-2000
Laboratory LocationCentral Connecticut Dermatology30 Knotter Dr, Ste 2, Southington, CT 06489
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.

Certificate of Compliance 07D2167375

Central Connecticut Dermatology · Cromwell, CT
Active · expires May 23, 2027
CLIA Number07D2167375
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorJames D. Whalen
Laboratory Phone(860) 400-2000
Laboratory LocationCentral Connecticut Dermatology1 Willowbrook Rd, Ste 2, Cromwell, CT 06416
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.

Certificate of Compliance 07D1033034

Central Connecticut Dermatology · Farmington, CT
Active · expires Apr 28, 2027
CLIA Number07D1033034
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorHanspaul Makkar
Laboratory Phone(860) 400-2000
Laboratory LocationCentral Connecticut Dermatology499 Farmington Ave, Ste 230, Farmington, CT 06032
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D2284346

Central Connecticut Dermatology · South Windsor, CT
Active · expires Jun 20, 2027
CLIA Number07D2284346
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorJustin Finch
Laboratory Phone(860) 322-2222
Laboratory LocationCentral Connecticut Dermatology340 Buckland Rd, 2nd Flr, South Windsor, CT 06074
CLIA data matches this NPI record on: 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 12

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

AMY D. H. DOODY PA-C
Physician Assistant
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
DR. MARK MARCHITTO MD
Dermatology
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
AMY YUNTZU-YEN CHEN MD
Dermatology
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
JUSTIN J FINCH MD
Dermatology
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
HANSPAUL S MAKKAR MD
Dermatology (MOHS-Micrographic Surgery)
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
BRUCE STROBER M.D.
Dermatology
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
JAMES D WHALEN MD
Dermatology (MOHS-Micrographic Surgery)
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222
MONA SHAHRIARI
Dermatology
1 WILLOWBROOK RD STE 2
CROMWELL, CT 06416
Lower Connecticut River Valley Planning Region (860) 322-2222

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 Central Connecticut Dermatology, PLLC's NPI number?

The NPI number for Central Connecticut Dermatology, PLLC is 1407313984. It was assigned to this organization in the NPPES registry on February 21, 2019.

Where is Central Connecticut Dermatology, PLLC located?

Central Connecticut Dermatology, PLLC is located at 1 Willowbrook Rd Ste 2, Cromwell, CT 06416. The listed phone number is (860) 322-2222.

What is Central Connecticut Dermatology, PLLC's specialty?

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

Does Central Connecticut Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Central Connecticut Dermatology, PLLC was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.