Advanced Dermatology Center, PC
Organization Active NPI Dermatology Physician · Wolcott, CT
NPI 1639160294 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1639160294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 035267 (CT)
- Legal business name
- ADVANCED DERMATOLOGY CENTER, PC
- Practice address
- 464 Wolcott Rd
Wolcott, CT 06716-2626 - Phone
- (203) 879-6171
- Fax
- (203) 879-1191
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Ronald S. Jurzyk, MD
- Title
- Owner
- Phone
- (203) 879-6171
Practitioners 4
-
Ronald S. Jurzyk, MD
-
David M Suhocki, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000894 | CT | Part B Supplier - Clinic/Group Practice | 5294623005 |
Receives reassigned benefits from 4 practitioners Practice locations: Wolcott, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 035267 | CT | Yes |
Addresses
Primary practice location
464 Wolcott Rd
Wolcott, CT 06716-2626
Mailing address
464 Wolcott Rd
Wolcott, CT 06716-2626
Phone (203) 879-6171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB0248 | Other | CT | RAILROAD MEDICARE |
Other names
- Advanced Dermatology Center, PC
- Ronald Jurzyk MD
Other providers in Wolcott, CT
- A New Perspective Counseling Services LLC
- Advanced Physical Therapy, LLC
- Advanced Spine and Sports Care, L.L.C.
- Anchor and Bloom Healing LLC
- Associates in Medicine
- Andrea Becker-Abbott
All providers in Wolcott, CT · Dermatology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.