DERMATOLOGY ASSOCIATES OF GLASTONBURY LLC
NPI 1730175845
Dermatology in Glastonbury, CT
About Dermatology Associates Of Glastonbury Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY ASSOCIATES OF GLASTONBURY LLC (NPI 1730175845) is a healthcare organization registered as a dermatology in Glastonbury, Connecticut and active in the NPI registry since September 2005. The organization lists Janelle Manton, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Associates Of Glastonbury Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dermatology Associates Of Glastonbury LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dermatology Associates Of Glastonbury LLC's NPI number?
The NPI number for Dermatology Associates Of Glastonbury LLC is 1730175845. It was assigned to this organization in the NPPES registry on September 23, 2005.
Where is Dermatology Associates Of Glastonbury LLC located?
Dermatology Associates Of Glastonbury LLC is located at 210 New London Tpke, Glastonbury, CT 06033. The listed phone number is (860) 633-1543.
What is Dermatology Associates Of Glastonbury LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Associates Of Glastonbury LLC enrolled in Medicare?
Yes. Dermatology Associates Of Glastonbury LLC is registered in the Medicare PECOS enrollment system.
When is Dermatology Associates Of Glastonbury LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology Associates Of Glastonbury LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dermatology Associates Of Glastonbury LLC, in Dermatology and Nurse Practitioner. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dermatology Associates Of Glastonbury LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Dermatology Associates Of Glastonbury 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 Dermatology Associates Of Glastonbury LLC was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dermatology Associates Of Glastonbury Llc · NPI 1730175845
Dermatology organization in Glastonbury, Connecticut. Organization record, active in the CMS NPPES registry since September 23, 2005.
## Identity
- **NPI:** 1730175845 (Entity type: Organization)
- **Enumerated:** September 23, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Janelle Manton, PARTNER
## Practice location
- **Address:** 210 NEW LONDON TPKE, Glastonbury, CT 06033-2235
- **Phone:** (860) 633-1543 · **Fax:** (860) 659-9755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (2); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730175845) · Data from the CMS NPPES public registry.