SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC
NPI 1770531832
Specialist in Stratford, CT

Q: What is Skincare Physicians Of Fairfield County, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 04, 2006

2890 MAIN ST, SUITE C, STRATFORD, CT 06614(203) 375-8200(203) 375-9424 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Skincare Physicians Of Fairfield County, Llc NPPES

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

SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC (NPI 1770531832) is a healthcare organization registered as a specialist in Stratford, Connecticut and active in the NPI registry since May 2006. The organization lists Gail B. Whitman, Partner, as its authorized official.

NPPES Registry Identity

NPI1770531832

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC

Location Address2890 MAIN ST, SUITE CStratford, CT 06614

Mailing Address2890 Main St, Suite CStratford, CT 06614-4980 · (203) 375-8200 · Fax (203) 375-9424

Phone(203) 375-8200

Fax(203) 375-9424

Organization SubpartNo

Authorized OfficialGail B. WhitmanPartner · (203) 375-8200

Enumeration DateMay 4, 2006

Last NPPES UpdateMay 22, 2018

✔ NPI 1770531832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CT · 037360

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2890 MAIN ST, Stratford, CT 06614

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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

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)

Skincare Physicians Of Fairfield County, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Skincare Physicians Of Fairfield County, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Michael Jacobson, M.D.

Micrographic Dermatologic Surgery (MDS)

NPI 1649352964

1051 LONG RIDGE RD
Stamford, CT 06903

(203) 329-7960

✔ PECOS✔ Accepts Medicare24 mi

Denise Gallo, APRN

Nurse Practitioner

NPI 1235431560

1343 BOSTON POST ROAD SUITE 101
Madison, CT 06443

(860) 669-6156

✔ PECOS✔ Accepts Medicare31 mi

Gail Whitman, M.D.

Dermatology

NPI 1043288061

1343 BOSTON POST ROAD SUITE 101
Madison, CT 06443

(860) 669-6156

✔ PECOS✔ Accepts Medicare31 mi

Aton Holzer, MD

Dermatology

NPI 1083828180

774 CHRISTIANA RD STE 107
Newark, DE 19713

(302) 230-3376

✔ PECOS✔ Accepts Medicare171 mi

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 Skincare Physicians Of Fairfield County, LLC's NPI number?

The NPI number for Skincare Physicians Of Fairfield County, LLC is 1770531832. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Skincare Physicians Of Fairfield County, LLC located?

Skincare Physicians Of Fairfield County, LLC is located at 2890 Main St Suite C, Stratford, CT 06614. The listed phone number is (203) 375-8200.

What is Skincare Physicians Of Fairfield County, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Skincare Physicians Of Fairfield County, LLC enrolled in Medicare?

Yes. Skincare Physicians Of Fairfield County, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skincare Physicians Of Fairfield County, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Skincare Physicians Of Fairfield County, LLC, in Dermatology, Micrographic Dermatologic Surgery (MDS) 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Skincare Physicians Of Fairfield County, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Skincare Physicians Of Fairfield County, 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 Skincare Physicians Of Fairfield County, LLC was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.