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DERMATOLOGY ASSOCIATES OF EASTERN CT LLC
NPI 1952481418
Dermatology in Glastonbury, CT

Active since October 17, 2006CLIA 07D0723558 · Microscopy
622 HEBRON AVE STE 107, GLASTONBURY, CT 06033(860) 657-3376(860) 633-6040 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2023, Sep 10, 2018 (2 updates tracked since 2018).

About Dermatology Associates Of Eastern Ct Llc NPPES

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

DERMATOLOGY ASSOCIATES OF EASTERN CT LLC (NPI 1952481418) is a healthcare organization registered as a dermatology in Glastonbury, Connecticut and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Laura A Benedetto, Partner, as its authorized official.

NPPES Registry Identity

NPI1952481418
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES OF EASTERN CT LLC
Location Address622 HEBRON AVE STE 107Glastonbury, CT 06033-5003
Mailing Address622 Hebron Ave Ste 107Glastonbury, CT 06033-5003 · (860) 657-3376 · Fax (860) 633-6040
Phone(860) 657-3376
Fax(860) 633-6040
Organization SubpartNo
Authorized OfficialLaura A BenedettoPartner · (860) 657-3376
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1952481418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CT · 000275
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.
622 HEBRON AVE STE 107, Glastonbury, CT 06033
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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

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) 07D0723558

Dermatology Associates Of Eastern Connecticut, LLC · Glastonbury, CT
Active · expires Aug 31, 2026
CLIA Number07D0723558
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaura G. Benedetto, Do
Laboratory Phone(860) 657-3376
Laboratory LocationDermatology Associates Of Eastern Connecticut, LLC622 Hebron Avenue Suite 107, Glastonbury, CT 06033
CLIA data matches this NPI record on: Address Phone
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.

Other Providers at the Same Location NPPES 4

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

SARAH ROSE MASCOLO PA-C
Physician Assistant
622 HEBRON AVE STE 107
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3376
INTEGRATED DERMATOLOGY OF GLASTONBURY PLLC
Dermatology
622 HEBRON AVE STE 107
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3376
WHITNEY GIAUQUE APRN
Nurse Practitioner (Family)
622 HEBRON AVE STE 107
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3376
MARIA D COSIMINI NP
Nurse Practitioner (Family)
622 HEBRON AVE STE 107
GLASTONBURY, CT 06033
Capitol Planning Region (860) 657-3376

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 Eastern Ct LLC's NPI number?

The NPI number for Dermatology Associates Of Eastern Ct LLC is 1952481418. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Dermatology Associates Of Eastern Ct LLC located?

Dermatology Associates Of Eastern Ct LLC is located at 622 Hebron Ave Ste 107, Glastonbury, CT 06033. The listed phone number is (860) 657-3376.

What is Dermatology Associates Of Eastern Ct LLC's specialty?

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

Does Dermatology Associates Of Eastern Ct LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0723558) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Eastern Ct LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.