AMBER DERMATOLOGY, PLLC
NPI 1457219396
Dermatology in Trumbull, CT

Active since January 12, 2026CLIA 07D2347311 · Waiver
35 CORPORATE DR STE 130, TRUMBULL, CT 06611(203) 951-5719 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Mar 18, 2026, Jan 12, 2026 (3 updates tracked since 2026).

About Amber Dermatology, Pllc NPPES

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

AMBER DERMATOLOGY, PLLC (NPI 1457219396) is a healthcare organization registered as a dermatology in Trumbull, Connecticut and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Alyssa Miceli, Owner, as its authorized official.

NPPES Registry Identity

NPI1457219396
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAMBER DERMATOLOGY, PLLC
Location Address35 CORPORATE DR STE 130Trumbull, CT 06611-6319
Mailing Address35 Corporate Dr # 130Trumbull, CT 06611-6319 · (203) 951-5719
Organization SubpartNo
Authorized OfficialAlyssa MiceliOwner · (516) 724-0317
Enumeration DateJanuary 12, 2026
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1457219396 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.
35 CORPORATE DR STE 130, Trumbull, CT 06611

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Amber Dermatology, Pllc 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 Amber Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1497136758
25 TAMARACK AVE
Danbury, CT 06811
(203) 797-8990
✔ PECOS✔ Accepts Medicare14 mi

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

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 of Waiver 07D2347311

Amber Dermatology, PLLC · Trumbull, CT
Active · expires Jul 15, 2028
CLIA Number07D2347311
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorAlyssa J. Miceli
Laboratory Phone(203) 951-5719
Laboratory LocationAmber Dermatology, PLLC35 Corporate Drive Suite 130, Trumbull, CT 06611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Amber Dermatology, PLLC's NPI number?

The NPI number for Amber Dermatology, PLLC is 1457219396. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Amber Dermatology, PLLC located?

Amber Dermatology, PLLC is located at 35 Corporate Dr Ste 130, Trumbull, CT 06611. The listed phone number is (203) 951-5719.

What is Amber Dermatology, PLLC's specialty?

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

Is Amber Dermatology, PLLC enrolled in Medicare?

Yes. Amber Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amber Dermatology, PLLC?

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

Does Amber Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2347311) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amber Dermatology, PLLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.