THE CONNECTICUT DERMATOLOGY GROUP P.C. (NPI# 1699881557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699881557 |
| Entity Type | Organization |
| Organization Name | THE CONNECTICUT DERMATOLOGY GROUP P.C. |
| Practice Address |
761 Main Ave Suite 102 Norwalk CT 06851-1080 |
| Practice Telephone | 2038104151 |
| Practice Fax Number | 2038104150 |
| Mailing Telephone | 2038104151 |
| Mailing Fax Number | 2038104150 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-05-21 |
| Authorized Official Name | DR. STEVEN ANDREW KOLENIK III (PRESIDENT) |
| Authorized Official Telephone | 2038104151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
761 MAIN AVE SUITE 102 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212350 | Frank John Pinto Jr. | Dermatology | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 | 2005-06-01 |
| 1720605264 | Amy Madeleine Matton | Acupuncturist | 761 Main Ave, Norwalk, CT 06851-1080 | 2020-07-01 |
| 1275043861 | Visiting Nurse & Hospice of Fairfield County, Inc. | Hospice Care, Community Based | 761 Main Ave, Suite 114, Norwalk, CT 06851 | 2017-10-09 |
| 1770032963 | Chelsea C. Taylor | Occupational Therapist | 761 Main Ave, Suite 115, Norwalk, CT 06851-1080 | 2016-09-28 |
| 1609227487 | Allison Phipps | Audiologist | 761 Main Ave, Suite 101, Norwalk, CT 06851-1080 | 2016-06-23 |
| 1487002861 | James Speer | Counselor | 761 Main Ave, Suite 200, Norwalk, CT 06851-1080 | 2016-05-26 |
| 1205280799 | Visiting Nurse & Hospice of Fairfield County Inc | Hospice Care, Community Based | 761 Main Ave, Suite 114, Norwalk, CT 06851 | 2016-04-20 |
| 1518336163 | Michael Roland Cicirelli | Nurse Practitioner | 761 Main Ave, Suite 101, Norwalk, CT 06851-1080 | 2015-09-24 |
| 1659756591 | All Smiles, LLC | Dentist | 761 Main Ave, Suite 111, Norwalk, CT 06851-1080 | 2015-07-21 |
| 1073990123 | Tara M. Meady | Nurse Practitioner | 761 Main Ave, Suite 200, Norwalk, CT 06851-1080 | 2015-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982091 | Cyrus Chess | Dermatology | 153 East Avenue, Suite #1, Norwalk, CT 06851-5711 | 2006-11-28 |
| 1588672570 | Debra Susan Weissman | Dermatology | 40 Cross Street, Dermatology Center PC Suite 340, Norwalk, CT 06851 | 2006-08-04 |
| 1538137450 | Charles L.g. Halasz | Dermatology | 149 East Ave, Suite 20, Norwalk, CT 06851-5711 | 2006-03-08 |
| 1043212350 | Frank John Pinto Jr. | Dermatology | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 | 2005-06-01 |
| 1316581622 | Iowa Dermatology Clinic Plc | Dermatology | 1327 Sunset Drive, Suite 200, Norwalk, IA 50211-1343 | 2019-10-30 |
| 1548454622 | Jennie B Nally | Dermatology | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 | 2007-08-30 |
| 1942318209 | Sang H Kim | Dermatology | 761 Main Ave, Suite 102, Norwalk, CT 06851 | 2006-08-28 |
| 1396767448 | Stuart Howard Bender | Dermatology | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 | 2006-07-24 |
| 1649292798 | Steven Andrew Kolenik IIi | Dermatology | 761 Main Ave, Suite 102, Norwalk, CT 06851-1080 | 2006-07-24 |
| 1063493401 | Ronald Steven Kahan | Dermatology | 40 Cross St, Suite 340, Norwalk, CT 06851-4647 | 2005-11-11 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.