| NPI | 1164835153 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2014-06-06 |
| Last Updated | 2024-03-14 |
| Authorized Official | Sadaf Waqar Owner Phone: 8606749900 |
| Mailing Address | 30 W Avon Rd Ste E Avon, CT 06001-3678 United States Phone: (561) 654-1789 | Fax: (508) 304-7532 📍 View Map |
| Primary Practice Address | 30 W Avon Rd Ste E Avon, CT 06001-3678 United States Phone: (860) 674-9900 | Fax: (860) 678-0036 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | CT | 53002 |
| No | 332900000X – Non-Pharmacy Dispensing Site | — | — |
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About NPI 1164835153
Farmington Valley Dermatology And Surgery, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164835153. The primary specialty listed is Dermatology. The organization is located in Avon, CT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164835153?
NPI 1164835153 belongs to Farmington Valley Dermatology And Surgery, Llc, a Dermatology in Avon, CT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164835153 active?
The current status of NPI 1164835153 in the NPPES registry is Active. The record was last updated on 2024-03-14.
What specialty is NPI 1164835153?
NPI 1164835153 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164835153?
You can verify NPI 1164835153 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164835153?
The primary practice address on file for NPI 1164835153 is 30 W Avon Rd Ste E, Avon, CT 06001-3678. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164835153 issued?
NPI 1164835153 was first issued (enumerated) on 2014-06-06. The NPPES record was last updated on 2024-03-14.
Practice Location Map
Farmington Valley Dermatology And Surgery, Llc is located at 30 W Avon Rd Ste E, Avon, CT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Farmington Valley Dermatology And Surgery, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164835153. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 53002 | CT |