Shawn Cole MD Ny LLC
NPI 1063139186ActiveOrganization· Dermatology· Bloomfield, CT
Dermatology in Bloomfield, Connecticut, registered in NPPES in October 2022, part of Shawn Cole MD Ny LLC. The authorized official on file is Sue-Ann Adrians, Gp Pm.
Overview
| NPI | 1063139186 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shawn Cole MD Ny LLC |
| NPI issued | Oct 20, 2022 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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