Integrated Dermatology of Enfield, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF ENFIELD, LLC

Practice address

714 Hopmeadow St Ste 5
Simsbury, CT 06070-2234

Phone

(860) 741-2225

Fax

(860) 651-1404

NPI assigned

Feb 20, 2014

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey D Queen

Title

Manager

Phone

(561) 314-2000

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Kelsey, MD

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1649664731

  CT

  Medicare reassignment Care Compare group NPD
• Maja Matwiejczuk, FNP APRN

  • Nurse Practitioner
  • Enfield, CT
  • NPI 1093276750
  Medicare reassignment Care Compare group NPD
• Meagen Marcy McCusker, M.D.

  • Dermatology Physician
  • Enfield, CT
  • NPI 1861651432
  Medicare reassignment Care Compare group NPD
• Michael J Payette, M.D., M.B.A.

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1952575573
  Medicare reassignment Care Compare group NPD
• Kathryn Marie Reinmann, DNP, FNP-BC

  • Family Nurse Practitioner
  • Enfield, CT
  • NPI 1255086864
  Medicare reassignment Care Compare group NPD
• Sarah Leigh Lasala, PA-C

  • Physician Assistant
  • Enfield, CT
  • NPI 1205327566
  Medicare reassignment Care Compare group
• Michael R. Lund, PHYSICIAN ASSISTANT

  • Emergency Medicine Physician
  • Enfield, CT
  • NPI 1306815980
  Medicare reassignment Care Compare group
• Linh Kim Donnell, PA-C

  • Physician Assistant
  • Albany, NY
  • NPI 1861019408

  CT

  Medicare reassignment Care Compare group
• Brandon Tibbitts, PA-C

  • Physician Assistant
  • Wethersfield, CT
  • NPI 1205276474
  Medicare reassignment
• Adam S Plotkin, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1306896105
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1134544661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000",
            "fax_number": "860-651-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HOPMEADOW ST STE 5",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702234",
            "telephone_number": "860-741-2225",
            "fax_number": "860-651-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF ENFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-314-2000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Holmes
• Home Handyman, LLC (Safer Lift)
• Hopmeadow Chiropractic of Simsbury, LLC
• Denise Lee Hughes, LPC
• Michael Chikezie Ijomah, DC
• Irina Ioffe
• Michelle R Irvin, RD CDE
• James L. Trifiro (Hopmeadow Apothecary)
• Joseph and Erica Petitti
• Susan Elizabeth Joyce, NCC, LPC, LMHC

• Dermatology Physician in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.