Farmington Valley Dermatology and Surgery, LLC
NPI 1164835153ActiveOrganization· Dermatology· Avon, CT
Dermatology in Avon, Connecticut, registered in NPPES in June 2014. The authorized official on file is Sadaf Waqar, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164835153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2014 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 53002 | CT |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
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) |
|---|
Other Dermatology providers in Avon
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