Individual provider Active NPI

Caroline Lucille Larosa, M.D.

  • Dermatology Physician
  • Newtown, CT
National Provider Identifier
1831519289
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
60329 Issued in CT
Practice address
170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1408
Phone
(203) 792-4151
Fax
(203) 792-4155
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 60329 CT Primary

Addresses

Primary practice location

170 Mount Pleasant Rd Ste 201
Newtown, CT 06470-1408

Mailing address

170 Mount Pleasant Rd
Ste 201
Newtown, CT 06470-1408
Phone (203) 792-4151

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
I20180906000482 CT Practitioner - Dermatology 2567764806 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Western Connecticut, PC CurrentSince Sep 1, 2018 Accepting new patients

Locations

120 Park Lane Rd
Ste A203
New Milford, CT 06776
Phone (203) 792-4151

170 Mount Pleasant Rd
Ste 201
Newtown, CT 06470
Phone (203) 792-4151

77 Main St N
Ste 107
Southbury, CT 06488
Phone (203) 267-5560

Interoperability endpoints

  • Direct secure messaging: clarosa@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1831519289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD",
            "address_2": "STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701408",
            "telephone_number": "203-792-4151",
            "fax_number": "203-792-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MOUNT PLEASANT RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701408",
            "telephone_number": "203-792-4151",
            "fax_number": "203-792-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSA",
        "first_name": "CAROLINE",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "60329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.