Fairfield Dermatology, P.C.
NPI 1023295524ActiveOrganization· Specialist· Fairfield, CT
Specialist in Fairfield, Connecticut, registered in NPPES in January 2008. The authorized official on file is Ivan S. Cohen, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023295524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2008 |
| Last updated in NPPES | Oct 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 14371 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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