On Site Dermatology of Connecticut LLC
NPI 1326473661ActiveOrganization· Dermatology· Madison, CT
Dermatology in Madison, Connecticut, registered in NPPES in September 2013. The authorized official on file is Jeffrey Queen, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326473661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2013 |
| Last updated in NPPES | Mar 29, 2024 |
| Certified by provider | Mar 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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