Dermatology Institute & Wellness Center, LLC

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

Legal business name

DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC

Practice address

396 Danbury Rd Unit 6
Wilton, CT 06897-2024

Phone

(203) 966-6305

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Annette Czernik, MDNPI 1346414497

Title

Managing Member

Phone

(203) 258-4594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Annette Czernik, M.D.

  • Dermatology Physician
  • Wilton, CT
  • NPI 1346414497

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1174101828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 DANBURY RD UNIT 6",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972024",
            "telephone_number": "203-442-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 DANBURY RD UNIT 6",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972024",
            "telephone_number": "203-966-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "CZERNIK",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-258-4594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Delgado, PT, DPT
• Stephanie Nichole Dellanno, OTR/L
• Daniel Deloma, M.TH., MSPC, PC
• Jeffrey V Deluca, M.D.
• Allison Rose Denicola, APRN, BC
• Barbara Despres, LCSW ACSW
• Brenna Natalia Destefano, MSOT, OTR/L
• Laura Jeanne Dias, M.S., CCC-SLP
• Harold Dibner, PH.D.
• Susan Faye Didino

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.