DR. JESSICA M GJEDE (NPI# 1750607362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750607362 |
| Entity Type | Individual |
| Full Name | DR. JESSICA M GJEDE |
| Credential | M.D. |
| Practice Address |
1111 Cromwell Ave. Suite 202 Rocky Hill CT 06067 |
| Mailing Address |
30 Hoffmann Rd. Canton CT 06019 |
| Practice Telephone | 8603484242 |
| Practice Fax Number | 8603484646 |
| Mailing Telephone | 8608304714 |
| Mailing Fax Number | 8603484646 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 052822 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSACHUSETTS MEDICAL LICENSE | 244492 | 01 |
| Street Address |
1111 CROMWELL AVE. SUITE 202 |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164924643 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 2162 Silas Dean Highway, Rocky Hill, CT 06067 | 2018-03-01 |
| 1285049304 | Edmund Swan | Optometrist | 38 Town Line Rd, Rocky Hill, CT 06067 | 2014-06-26 |
| 1962814145 | Touchpoints Homecare, LLC | Home Health | 1838 Silas Deane Hwy, Rocky Hill, CT 06067 | 2014-05-22 |
| 1649696014 | Janet Kelly | Speech-Language Pathologist | 135 Old Main Street, Rocky Hill, CT 06067 | 2014-03-10 |
| 1194147256 | George Ginsberg | Dentist | 35 Cold Spring Rd, Suite 325, Rocky Hill, CT 06067 | 2014-01-09 |
| 1679901953 | Masters In Home Care, LLC | Home Health | 40 Cold Spring Rd, Rocky Hill, CT 06067 | 2013-10-23 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1851631683 | Tia Jean Williams | Physician Assistant | 1111 Cromwell Ave # 404, Rocky Hill, CT 06067 | 2013-02-14 |
| 1700125804 | Marisol Rodriguez | Reflexologist | 1800 Silas Deane Highway, Suite 150, Rocky Hill, CT 06067 | 2013-02-08 |
| 1790070530 | Kelly A Cronin | Nurse Practitioner | 500 Enterprise Drive, Suite 4a, Rocky Hill, CT 06067 | 2011-06-09 |
| Find all providers in zip 06067 | ||||
| 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 |
|---|---|---|---|---|
| 1477175966 | Young Skin | Dermatology | 1111 Summer St, Stamford, CT 06905-5508 | 2020-05-07 |
| 1922633213 | The Dermatology Center of Connecticut, LLC | Dermatology | 60 Church St Unit 4b, Wallingford, CT 06492-2340 | 2020-03-06 |
| 1063055853 | Integrated Dermatology of Vernon, Pllc | Dermatology | 357 Hartford Tpke Fl 2, Vernon, CT 06066-4838 | 2019-10-24 |
| 1023663424 | Dermatology Solutions, LLC | Dermatology | 35 E Main St Ste 118, Avon, CT 06001-3845 | 2019-08-03 |
| 1407374481 | Center for Skin Surgery & Dermatology, Pllc | Dermatology | 2928 Main St Ste 100, Glastonbury, CT 06033-1007 | 2017-08-30 |
| 1962933572 | Daniel Mark Klufas | Dermatology | 64 Tuckahoe Rd, Easton, CT 06612-2054 | 2017-03-24 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1457728883 | Integrated Dermatology of Clinton,llc | Dermatology | 8 E Main St Ste 101, Clinton, CT 06413-2058 | 2015-09-02 |
| 1760873210 | Nicholas V Perricone | Dermatology | 639 Research Pkwy, Meriden, CT 06450-7154 | 2015-02-05 |
| 1497160535 | Dean David George | Dermatology | 399 Farmington Ave Ste 260, Farmington, CT 06032-1979 | 2014-06-27 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY HILL |
| Zip Code | 06067 |
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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.