Active NPI
Skincare Physicians of Fairfield County, LLC
- Specialist
- Stratford, CT
National Provider Identifier
1770531832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 037360
- Legal business name
- SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC
- Practice address
- 2890 Main St
Suite C
Stratford, CT 06614 - Phone
- (203) 375-8200
- Fax
- (203) 375-9424
- NPI assigned
- May 4, 2006
- Last updated
- May 22, 2018
- 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
- Dr. Gail B. Whitman, M.D.
- Title
- Partner
- Phone
- (203) 375-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 037360 | CT | Primary |
Addresses
Primary practice location
2890 Main St
Suite C
Stratford, CT 06614
Mailing address
2890 Main St
Suite C
Stratford, CT 06614-4980
Phone (203) 375-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Madison, CT
- NPI 1043288061
-
- Family Nurse Practitioner
- Madison, CT
- NPI 1235431560
-
- Dermatology Physician
- Stamford, CT
- NPI 1649352964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1770531832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890 MAIN ST",
"address_2": "SUITE C",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066144980",
"telephone_number": "203-375-8200",
"fax_number": "203-375-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2890 MAIN ST",
"address_2": "SUITE C",
"city": "STRATFORD",
"state": "CT",
"postal_code": "06614",
"telephone_number": "203-375-8200",
"fax_number": "203-375-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "WHITMAN",
"authorized_official_first_name": "GAIL",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "203-375-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CT",
"license": "037360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.