Individual provider Active NPI

Ellen Block Milstone, M.D.

  • Procedural Dermatology Physician
  • Hamden, CT
National Provider Identifier
1578560132
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
017267 Issued in CT
Practice address
2416 Whitney Ave
Hamden, CT 06518-3248
Phone
(203) 288-1142
Fax
(203) 288-5086
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 017267 CT
Dermatopathology Physician 207ND0900X 017267 CT
Pediatric Dermatology Physician 207NP0225X 017267 CT
Procedural Dermatology Physician 207NS0135X 017267 CT Primary

Addresses

Primary practice location

2416 Whitney Ave
Hamden, CT 06518-3248

Mailing address

2416 Whitney Ave
Hamden, CT 06518-3248
Phone (203) 288-1142

Other identifiers 2

IdentifierTypeStateIssuer
010017267CT03OtherCTANTHEM BLUE CROSS
750372OtherCTCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017267CTMDDermatopathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578560132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183248",
            "telephone_number": "203-288-1142",
            "fax_number": "203-288-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183248",
            "telephone_number": "203-288-1142",
            "fax_number": "203-288-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSTONE",
        "first_name": "ELLEN",
        "middle_name": "BLOCK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "017267",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CT",
            "license": "017267",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CT",
            "license": "017267",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CT",
            "license": "017267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010017267CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "750372",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.