Dermatology Partners, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY PARTNERS, PLLC

Practice address

850 N Main Street Ext Ste 2A2
Wallingford, CT 06492-2483

Phone

(203) 626-5581

NPI assigned

Jun 20, 2025

Organization subpart

No

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

Authorized official

Name

Rosa Brunelle

Title

Executive Director

Phone

(203) 626-5581

Specialties & licenses 1

Addresses

Other names 1

• Partners in Long Term Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• Ashley E. Schaefer, NP

  • Dermatology Physician
  • Worcester, MA
  • NPI 1942452511

  CT

  Medicare reassignment Care Compare group NPD
• Mary Alice O'Brien, FNP

  • Nurse Practitioner
  • Vestal, NY
  • NPI 1821176264

  CT

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1427945641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE 2A2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922483",
            "telephone_number": "203-626-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE 2A2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922483",
            "telephone_number": "203-626-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BRUNELLE",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-626-5581"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners in Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetrios Kostas, LCSW LLC
• Lauren Mary Dempsey, APRN
• Daniel T. Dennehy, M.D.
• Dental Partners
• Nickolas Denuzzo, PT, DPT
• David P Derosa, D.C.
• Alexis Descoteaux
• Susan Harmon Devylder, RPT
• Todd Dewolf, LPC
• Holley Dey, M.D.

• Dermatology Physician in Wallingford, CT
• Providers in Wallingford, 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 2, 2026; 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.