DERMATOLOGY ASSOCIATES P.C.
NPI 1639377690
Dermatology in New Haven, CT

Active since July 10, 2007CLIA 07D0866601 · Microscopy
1 LONG WHARF DR # 30, NEW HAVEN, CT 06511(203) 787-4171 Get Directions Write a Review

NPPES record last updated: September 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dermatology Associates P.c. NPPES

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

DERMATOLOGY ASSOCIATES P.C. (NPI 1639377690) is a healthcare organization registered as a dermatology in New Haven, Connecticut and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Mark Jeffrey Goldstein, President/physician, as its authorized official.

NPPES Registry Identity

NPI1639377690
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES P.C.
Location Address1 LONG WHARF DR # 30New Haven, CT 06511-5991
Mailing Address1 Long Wharf Dr, 30New Haven, CT 06511-5991 · (203) 787-4171
Organization SubpartNo
Authorized OfficialMark Jeffrey GoldsteinPresident/physician · (203) 787-4171
Enumeration DateJuly 10, 2007
Last NPPES UpdateSeptember 8, 2007
NPI 1639377690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CT · 025369
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.

1 LONG WHARF DR # 30, New Haven, CT 06511

Other Identifiers 1

Medicare PINC00254

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 07D0866601

Dermatology Physicians Of Ct · New Haven, CT
Active · expires Aug 31, 2026
CLIA Number07D0866601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark J. Goldstein
Laboratory Phone(203) 538-5682
Laboratory LocationDermatology Physicians Of Ct1 Long Wharf Drive, Suite 103, New Haven, CT 06511
CLIA data matches this NPI record on: Address
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639377690, enumerated as an "organization" on July 10, 2007.

The provider is located at 1 LONG WHARF DR # 30 NEW HAVEN, CT 06511 and the phone number is (203) 787-4171.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.