Integrated Dermatology of Waterbury, LLC
NPI 1588136220ActiveOrganization· Dermatology· Waterbury, CT
Dermatology in Waterbury, Connecticut, registered in NPPES in December 2018. The authorized official on file is Adam S. Plotkin, MD, Authorized Group Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588136220 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2018 |
| Last updated in NPPES | Apr 10, 2026 |
| Certified by provider | Apr 10, 2026 |
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 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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