SAYBROOK DERMATOLOGY LLC
NPI 1902909708
Dermatology in Old Saybrook, CT
About Saybrook Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAYBROOK DERMATOLOGY LLC (NPI 1902909708) is a healthcare organization registered as a dermatology in Old Saybrook, Connecticut and active in the NPI registry since September 2006. The organization lists Heather Larson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Saybrook Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Saybrook Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Old Saybrook, CT 06475
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 Saybrook Dermatology LLC's NPI number?
The NPI number for Saybrook Dermatology LLC is 1902909708. It was assigned to this organization in the NPPES registry on September 7, 2006.
Where is Saybrook Dermatology LLC located?
Saybrook Dermatology LLC is located at 455 Boston Post Rd Ste 10, Old Saybrook, CT 06475. The listed phone number is (860) 388-9799.
What is Saybrook Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Saybrook Dermatology LLC enrolled in Medicare?
Yes. Saybrook Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Saybrook Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Saybrook 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Saybrook Dermatology LLC was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.