CENTRAL CONNECTICUT DERMATOLOGY, PLLC
NPI 1407313984
Dermatology in Cromwell, CT
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
Specialties & Licenses
Secondary Practice Locations 5
Group Practice 1
Accepted 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)
Central Connecticut Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Central Connecticut Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
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 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, CTCertificate of Compliance 07D2210603
Central Connecticut Dermatology Bloomfield · Bloomfield, CTCertificate of Compliance 07D2167761
Central Connecticut Dermatology · Southington, CTCertificate of Compliance 07D2167375
Central Connecticut Dermatology · Cromwell, CTCertificate of Compliance 07D1033034
Central Connecticut Dermatology Farmington · Farmington, CTCertificate for Provider-Performed Microscopy Procedures (PPMP) 07D2284346
Central Connecticut Dermatology · South Windsor, CTFrequently 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.
Is Central Connecticut Dermatology, PLLC enrolled in Medicare?
Yes. Central Connecticut Dermatology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Connecticut Dermatology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Central Connecticut Dermatology, PLLC. 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. The largest specialties are Dermatology (9), Nurse Practitioner (4) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 11 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Central Connecticut Dermatology, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Central Connecticut Dermatology, PLLC 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 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.
# Central Connecticut Dermatology, Pllc · NPI 1407313984
Dermatology organization in Cromwell, Connecticut. Organization record, active in the CMS NPPES registry since February 21, 2019.
## Identity
- **NPI:** 1407313984 (Entity type: Organization)
- **Enumerated:** February 21, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Bruce Strober, PROVIDER
## Practice location
- **Address:** 1 WILLOWBROOK RD STE 2, Cromwell, CT 06416-1745
- **Phone:** (860) 322-2222 · **Fax:** (860) 322-6838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (4), Micrographic Dermatologic Surgery (MDS) (2); 11 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2023
- **CLIA laboratory certificates:** 6 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407313984) · Data from the CMS NPPES public registry.