Individual provider Active NPI

Kenneth Jay Helmandollar, M.D.

  • Dermatology Physician
  • Danbury, CT
National Provider Identifier
1245625037
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
73865 Issued in CT
Practice address
107 Newtown Rd Ste 2C
Danbury, CT 06810-4146
Phone
(203) 830-4700
Fax
(203) 730-4165
NPI assigned
Mar 30, 2015
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 73865 CT Primary

Addresses

Primary practice location

107 Newtown Rd Ste 2C
Danbury, CT 06810-4146

Mailing address

1901 1St Ave
New York, NY 10029-7491
Phone (212) 423-6271

Other practice location 1

8901 Rockville Pike
Building 1, 19th Floor, Room 19107
Bethesda, MD 20889-5600
Phone (301) 295-0537

Other practice location 2

1901 1st Ave
New York, NY 10029-7491
Phone (212) 423-6271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613000289 CT Practitioner - Dermatology 8325405939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Specialty Care, P.C.Group PAC ID 2567353121, 24 clinicians

Practice addresses (Care Compare)

107 Newtown Rd
Suite 2a
Danbury, CT 06810-4151
Phone (203) 830-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions595
Skin biopsy279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73865CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Specialty Care, P.C. Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Advanced Audiology & Hearing Aid Services PastSince Aug 1, 2023 Accepting new patients

Locations

107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700

107 Newtown Rd
Ste 2C
Danbury, CT 06810
Phone (203) 791-9661

488 Main Ave
Norwalk, CT 06851
Phone (203) 838-0442

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kenneth.helmandollarmd.p1@direct.asc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1245625037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297491",
            "telephone_number": "212-423-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 2C",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-830-4700",
            "fax_number": "203-730-4165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Rockville Pike",
            "address_2": "Building 1, 19th Floor, Room 19107",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208895600",
            "country_code": "US",
            "telephone_number": "301-295-0537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297491",
            "country_code": "US",
            "telephone_number": "212-423-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMANDOLLAR",
        "first_name": "KENNETH",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "73865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.