Central Connecticut Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTRAL CONNECTICUT DERMATOLOGY, PLLC

Practice address

1 Willowbrook Rd Ste 2
Cromwell, CT 06416-1745

Phone

(860) 322-2222

Fax

(860) 322-6838

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Bruce E Strober, MDNPI 1619966652

Title

Provider

Phone

(860) 322-2222

Specialties & licenses 1

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 21

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

• Bruce Strober, M.D.

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1619966652
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Yuntzu-Yen Chen, MD

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1164681573
  Medicare reassignment Care Compare group NPD
• Rui Cheng, M.D.

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1841679503
  Medicare reassignment Care Compare group NPD
• Nathania Consolini, APRN

  • Family Nurse Practitioner
  • South Windsor, CT
  • NPI 1457100083
  Medicare reassignment Care Compare group NPD
• Kayla Rose Curtis, DNP

  • Nurse Practitioner
  • Cromwell, CT
  • NPI 1891346334
  Medicare reassignment Care Compare group NPD
• Justin J Finch, MD

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1437310869
  Medicare reassignment Care Compare group NPD
• Wiktoria Anna Galica, PA-C

  • Physician Assistant
  • Avon, CT
  • NPI 1407690704
  Medicare reassignment Care Compare group NPD
• Christina Lynn Greisler, APRN

  • Family Nurse Practitioner
  • Rocky Hill, CT
  • NPI 1386052710
  Medicare reassignment Care Compare group NPD
• Steven Madsen

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1861925356
  Medicare reassignment Care Compare group NPD
• Hanspaul S Makkar, MD

  • MOHS-Micrographic Surgery Physician
  • Cromwell, CT
  • NPI 1467488510

  Dermatology

  Medicare reassignment Care Compare group NPD
• Mark Marchitto, MD

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1134624000
  Medicare reassignment Care Compare group NPD
• Shannon Clare Morrill, PA-C

  • Physician Assistant
  • Cromwell, CT
  • NPI 1659262624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1407313984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Knotter Drive",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "fax_number": "860-400-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Dale Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013692",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Farmington Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321933",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Northwestern Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023400",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Buckland Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743725",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL CONNECTICUT DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "STROBER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "860-322-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.