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ADVANCED DERMATOLOGY LLC
NPI 1609892298
Dermatology in Norwich, CT

Active since July 15, 2006CLIA 07D0987568 · Certificate of Compliance
111 SALEM TPKE, SUITE 7, NORWICH, CT 06360(860) 859-2262(860) 859-9819 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Dermatology Llc NPPES

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

ADVANCED DERMATOLOGY LLC (NPI 1609892298) is a healthcare organization registered as a dermatology in Norwich, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2027 and lists Howard W. Rogers, Owner, as its authorized official.

NPPES Registry Identity

NPI1609892298
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY LLC
Location Address111 SALEM TPKE, SUITE 7Norwich, CT 06360-6459
Mailing Address111 Salem Tpke, Suite 7Norwich, CT 06360-6459 · (860) 859-2262 · Fax (860) 859-9819
Phone(860) 859-2262
Fax(860) 859-9819
Organization SubpartNo
Authorized OfficialHoward W. RogersOwner · (860) 859-2262
Enumeration DateJuly 15, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1609892298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CT · 038560
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 002932 (CT)
111 SALEM TPKE, Norwich, CT 06360
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Other Identifiers 4

Medicaid004182680CT
Medicare PINC03128CT
Other222316481CT · Bcbs
OtherDB9913CT · Medicare Railroad

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Advanced Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Advanced Dermatology LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

David Chen, M.D.
Dermatology
NPI 1922364611
111 SALEM TPKE STE 7
Norwich, CT 06360
(860) 859-2262
✔ PECOS✔ Accepts Medicare0.3 mi
Howard Rogers, MD
Dermatology
NPI 1861465973
111 SALEM TPKE SUITE 7
Norwich, CT 06360
(860) 859-2262
✔ PECOS✔ Accepts Medicare0.3 mi
Christy Socha, APRN
Nurse Practitioner
NPI 1609849728
111 SALEM TPKE SUITE 7
Norwich, CT 06360
(860) 859-2262
✔ PECOS✔ Accepts Medicare0.3 mi
Radford Tanksley, MD
Dermatology
NPI 1629041728
111 SALEM TPKE SUITE 7
Norwich, CT 06360
(860) 859-2262
✔ PECOS✔ Accepts Medicare0.3 mi
Emma Zumsande, NP
Nurse Practitioner
NPI 1265956445
1672 S COUNTY TRL
East Greenwich, RI 02818
(401) 885-7546
✔ PECOS34 mi
Catherine Luz, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1578080651
1275 WAMPANOAG TRL STE 6
Riverside, RI 02915
(401) 415-8586
✔ PECOS✔ Accepts Medicare45 mi
Johannah Valentine, M.D.
Dermatology
NPI 1508932294
3151 WALBERT AVE STE 301
Allentown, PA 18104
(484) 503-7546
✔ PECOS✔ Accepts Medicare189 mi
Kirkland Lau, MD
Dermatology
NPI 1780670240
2208 QUARRY DR SUITE 206
Reading, PA 19609
(610) 685-2449
✔ PECOS✔ Accepts Medicare219 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 Compliance 07D0987568

Advanced Dermatology · Norwich, CT
Active · expires Jun 24, 2027
CLIA Number07D0987568
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorHoward W. Rogers MD
Laboratory Phone(860) 859-2262
Laboratory LocationAdvanced Dermatology111 Salem Tpke, Ste 7, Norwich, CT 06360
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.

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 Advanced Dermatology LLC's NPI number?

The NPI number for Advanced Dermatology LLC is 1609892298. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Advanced Dermatology LLC located?

Advanced Dermatology LLC is located at 111 Salem Tpke Suite 7, Norwich, CT 06360. The listed phone number is (860) 859-2262.

What is Advanced Dermatology LLC's specialty?

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

Is Advanced Dermatology LLC enrolled in Medicare?

Yes. Advanced Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatology LLC. 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 (5) and Nurse Practitioner (3). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D0987568) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Dermatology LLC 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 Advanced Dermatology LLC was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.