Integrated Dermatology Of Clinton, LLC
Dermatology in Madison, CT. Organization (NPI-2).
NPI number1457728883
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1457728883
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Dermatology Of Clinton, LLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2015
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
1343 Boston Post Rd Apt 101Madison, CT 06443-3481
Phone 860-669-6156 · Fax 860-664-0285
Mailing address
4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450
Phone 561-948-0291 · Fax 561-859-0429
Authorized official
Adam S Plotkin
Authorized Official
5613142000
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All 7 Dermatology Physician providers in Madison · All 512 providers in Madison
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