Individual provider Active NPI

Laurie Moik Slotnick, M.D.

  • Specialist
  • Sharon, CT
National Provider Identifier
1538154240
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
030007 Issued in CT
Practice address
11 Hospital Hill Rd
Sharon, CT 06069-2010
Phone
(860) 364-2098
Fax
(860) 364-5757
NPI assigned
Sep 19, 2005
Reactivated
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 030007 CT Primary

Addresses

Primary practice location

11 Hospital Hill Rd
Sharon, CT 06069-2010

Mailing address

PO Box 337
11 Hospital Hill Rd
Sharon, CT 06069-0337
Phone (860) 364-2098

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
I20090515000254 CT Practitioner - Dermatology 7012066319 Practice locations: Sharon, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030007CTMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538154240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "address_2": "11 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060690337",
            "telephone_number": "860-364-2098",
            "fax_number": "860-364-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692010",
            "telephone_number": "860-364-2098",
            "fax_number": "860-364-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTNICK",
        "first_name": "LAURIE",
        "middle_name": "MOIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "030007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

Verify at the official NPI Registry.