Dermasology
NPI 1578362380ActiveOrganization· Specialist/Technologist, Other· Glastonbury, CT
Specialist/Technologist, Other in Glastonbury, Connecticut, registered in NPPES in March 2025. The authorized official on file is Jennifer Williams, Administrator.
Overview
| NPI | 1578362380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2025 |
| Last updated in NPPES | Aug 21, 2025 |
| Certified by provider | Aug 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | — | — |
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 |
|---|
Other Specialist/Technologist, Other providers in Glastonbury
- 1306604798