Active NPI
Integrated Dermatology of Clinton, LLC
- Dermatology Physician
- Madison, CT
National Provider Identifier
1457728883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATED DERMATOLOGY OF CLINTON, LLC
- Practice address
- 1343 Boston Post Rd Apt 101
Madison, CT 06443-3481 - Phone
- (860) 669-6156
- Fax
- (860) 664-0285
- NPI assigned
- Sep 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam S Plotkin, MD
- Title
- Authorized Official
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1343 Boston Post Rd Apt 101
Madison, CT 06443-3481
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291
Other names 1
- Dermatology of Clinton LLP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151125000408 | CT | Part B Supplier - Clinic/Group Practice | 7416257381 |
Receives reassigned benefits from 12 practitioners Practice locations: Trumbull, CT; Madison, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D0679208 | Integrated Dermatology of Clinton | Compliance | Nov 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
7 Cambridge Dr
Ste 206
Trumbull, CT 06611
Phone (203) 402-8816
7 Cambridge Dr
Ste 207
Trumbull, CT 06611
Phone (203) 402-8816
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1457728883",
"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": "561-948-0291",
"fax_number": "561-859-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 BOSTON POST RD APT 101",
"city": "MADISON",
"state": "CT",
"postal_code": "064433481",
"telephone_number": "860-669-6156",
"fax_number": "860-664-0285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DERMATOLOGY OF CLINTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-02",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "PLOTKIN",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "561-314-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatology of Clinton LLP",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.