Active NPI
Lisa Marian Donofrio, M.D.
- Dermatology Physician
- New Haven, CT
National Provider Identifier
1649218223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 035052
- Practice address
- 134 Park St
New Haven, CT 06511-5409 - Phone
- (203) 865-6143
- Fax
- (203) 772-1265
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 035052 | CT | Primary |
Addresses
Primary practice location
134 Park St
New Haven, CT 06511-5409
Mailing address
4 Saint Ronan Ter
New Haven, CT 06511-2315
Phone (203) 865-6143
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TDG Connecticut PLLC | Dermatology | Current | Accepting new patients |
| Bruce E. Katz, MD, PC | Past | Accepting new patients | |
| Bruce E. Katz, MD, PC | Dermatology | Past | Accepting new patients |
Locations
134 Park St
New Haven, CT 06511
Phone (203) 865-0815
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- New Haven, CT
- NPI 1245744846
-
dba Juva Skin and Laser Center
- Dermatology Physician
- Woodside, NY
- NPI 1962682666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649218223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SAINT RONAN TER",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112315",
"telephone_number": "203-865-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115409",
"telephone_number": "203-865-6143",
"fax_number": "203-772-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOFRIO",
"first_name": "LISA",
"middle_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "035052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.