Dermatology in Hamden, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

035147 Issued in CT

Legal business name

DERMATOLOGY IN HAMDEN, LLC

Practice address

2880 Old Dixwell Ave
Hamden, CT 06518-3144

Phone

(203) 288-5624

Fax

(203) 288-7782

NPI assigned

Oct 31, 2008

Last updated

Oct 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Sherline, M.D.NPI 1174659452

Title

Business Manager

Phone

(860) 677-4539

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Peter Sherline, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hamden, CT
  • NPI 1174659452
  Authorized official Same address or phone

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1922251107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "203-288-5624",
            "fax_number": "203-288-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "203-288-5624",
            "fax_number": "203-288-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY IN HAMDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "SHERLINE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "860-677-4539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "035147",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CT",
            "license": "035147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Marie Denny, DC
• Elizabeth A Depalma, DPT
• Jeanine Marie Depasquale, PHARMD
• Depaul Health Services Corporation (Saint Raphael Healthcare System Hamden Surgery Center, LLC)
• Dependable Home Care Service LLC
• Shaunique Lashay Deshields
• Garumuni A. Desilva, M.D.
• Deborah Desir, M.D.
• Victoria Desjardin, MS, BCBA/LBA
• Cynthia Lynn Desmarais, PT

• Specialist in Hamden, CT
• Providers in Hamden, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.