ADVANCED DERMATOLOGY LLC
NPI 1609892298
Dermatology in Norwich, CT

Q: 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.

Q: What is Advanced Dermatology LLC's specialty?

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

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: August 09, 2026.

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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

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.

Other Providers at the Same Location NPPES 19

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

ARIJ MONEER RASHID DPM

Podiatrist (Foot & Ankle Surgery)