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INTEGRATED DERMATOLOGY OF CLINTON, LLC
NPI 1457728883
Dermatology in Madison, CT

Active since September 02, 2015CLIA Certified · 2 labs
1343 BOSTON POST RD APT 101, MADISON, CT 06443(860) 669-6156(860) 664-0285 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2024, Jan 16, 2019 (2 updates tracked since 2019).

About Integrated Dermatology Of Clinton, Llc NPPES

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

INTEGRATED DERMATOLOGY OF CLINTON, LLC (NPI 1457728883), doing business as Dermatology Of Clinton Llp, is a healthcare organization registered as a dermatology in Madison, Connecticut and active in the NPI registry since September 2015. The organization holds 2 active CLIA laboratory certificates and lists Adam S Plotkin, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1457728883
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF CLINTON, LLC
Location Address1343 BOSTON POST RD APT 101Madison, CT 06443-3481
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 948-0291 · Fax (561) 859-0429
Phone(860) 669-6156
Fax(860) 664-0285
Organization SubpartNo
Authorized OfficialAdam S PlotkinAuthorized Official · (561) 314-2000
Enumeration DateSeptember 2, 2015
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1457728883 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.
1343 BOSTON POST RD APT 101, Madison, CT 06443
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Other Names 1

Doing Business AsDermatology Of Clinton Llp

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

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 07D0679208

Integrated Dermatology Of Clinton · Madison, CT
Active · expires Nov 7, 2026
CLIA Number07D0679208
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorAndrew Kelsey
Laboratory Phone(860) 669-6156
Laboratory LocationIntegrated Dermatology Of Clinton1343 Boston Post Rd, Ste 101, Madison, CT 06443
CLIA data matches this NPI record on: 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) 07D2161989

Integrated Dermatology Of Enfield · Enfield, CT
Active · expires Nov 30, 2027
CLIA Number07D2161989
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMeagen Mccusker
Laboratory Phone(860) 669-6156
Laboratory LocationIntegrated Dermatology Of Enfield113 Elm St, Ste 304, Enfield, CT 06082
CLIA data matches this NPI record on: 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 6

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

IZABELA HORZEMPA PA-C
Physician Assistant
1343 BOSTON POST RD APT 101
MADISON, CT 06443
South Central Connecticut Planning Region (860) 669-6156
ON SITE DERMATOLOGY OF CONNECTICUT LLC
Dermatology
1343 BOSTON POST RD APT 101
MADISON, CT 06443
South Central Connecticut Planning Region (877) 345-5300
NOEL ARTHUR JOSEPH TURNER MD
Dermatology
1343 BOSTON POST RD APT 101
MADISON, CT 06443
South Central Connecticut Planning Region (860) 669-6156
DONNA BALDWIN COLQUHOUN A.P.R.N.
Nurse Practitioner (Family)
1343 BOSTON POST RD APT 101
MADISON, CT 06443
South Central Connecticut Planning Region (860) 669-6156
DR. JEREMY ETHAN MOSS M.D., PH.D.
Dermatology
1343 BOSTON POST RD APT 101
MADISON, CT 06443
South Central Connecticut Planning Region (860) 669-6156
KATHERINE ELIZABETH FARNSWORTH PA-C
Physician Assistant
1343 BOSTON POST RD APT 101
MADISON, CT 06443
South Central Connecticut Planning Region (860) 669-6156

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 Integrated Dermatology Of Clinton, LLC's NPI number?

The NPI number for Integrated Dermatology Of Clinton, LLC is 1457728883. It was assigned to this organization in the NPPES registry on September 2, 2015. The provider is doing business as Dermatology of Clinton LLP.

Where is Integrated Dermatology Of Clinton, LLC located?

Integrated Dermatology Of Clinton, LLC is located at 1343 Boston Post Rd Apt 101, Madison, CT 06443. The listed phone number is (860) 669-6156.

What is Integrated Dermatology Of Clinton, LLC's specialty?

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

Does Integrated Dermatology Of Clinton, LLC hold CLIA laboratory certificates?

Yes. 2 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 Integrated Dermatology Of Clinton, LLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.