Elite Dermatology Physicians PLLC
NPI 1003644402 · Dermatology Physician · New Canaan, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Dermatology Physicians PLLC is a Dermatology Physician organization in New Canaan, CT (NPI 1003644402).
Provider details
- NPI number
- 1003644402
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ellen De Moll, Owner(203) 200-0523
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Frequently asked questions
- What is Elite Dermatology Physicians PLLC's NPI number?
- Elite Dermatology Physicians PLLC's National Provider Identifier (NPI) is 1003644402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Dermatology Physicians PLLC?
- Elite Dermatology Physicians PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Dermatology Physicians PLLC located?
- Elite Dermatology Physicians PLLC's practice location on file with NPPES is 38 East Ave, New Canaan, CT 06840-5516.
- What is Elite Dermatology Physicians PLLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Dermatology Physicians PLLC is (415) 802-1310.
- Does Elite Dermatology Physicians PLLC accept Medicare?
- Elite Dermatology Physicians PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Dermatology Physicians PLLC?
- The authorized official listed on Elite Dermatology Physicians PLLC's NPPES record is Ellen De Moll, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Dermatology Physicians PLLC's NPI active?
- Yes — Elite Dermatology Physicians PLLC's NPI (1003644402) is active in the NPPES registry as of the last update on 2024-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.