Organization Active NPI

Connolly Dermatology Florida LLC

  • Dermatology Physician
  • Miami Beach, FL
National Provider Identifier
1124980487
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CONNOLLY DERMATOLOGY FLORIDA LLC
Practice address
215 Lincoln Rd
Miami Beach, FL 33139-3116
Phone
(888) 377-5177
NPI assigned
Nov 25, 2025
Organization subpart
Yes
Parent organization
COYLE S CONNOLLY DO PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Valerie Hill
Title
Billing Manager
Phone
(609) 926-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

215 Lincoln Rd
Miami Beach, FL 33139-3116

Mailing address

2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Phone (609) 926-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609004698 FL Part B Supplier - Clinic/Group Practice 7315418324 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory
Part of
Coyle S Connolly DO PA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1124980487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773534",
            "telephone_number": "609-926-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LINCOLN RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393116",
            "telephone_number": "888-377-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOLLY DERMATOLOGY FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COYLE S CONNOLLY DO PA",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-926-8899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.