Integrated Dermatology of Enfield, LLC
NPI 1134544661 · Dermatology Physician · Simsbury, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of Enfield, LLC is a Dermatology Physician organization in Simsbury, CT (NPI 1134544661).
Provider details
- NPI number
- 1134544661
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Queen, Manager(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-02-20
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Integrated Dermatology of Enfield, LLC's NPI number?
- Integrated Dermatology of Enfield, LLC's National Provider Identifier (NPI) is 1134544661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Enfield, LLC?
- Integrated Dermatology of Enfield, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Enfield, LLC located?
- Integrated Dermatology of Enfield, LLC's practice location on file with NPPES is 714 Hopmeadow St Ste 5, Simsbury, CT 06070-2234.
- What is Integrated Dermatology of Enfield, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Enfield, LLC is (860) 741-2225.
- Does Integrated Dermatology of Enfield, LLC accept Medicare?
- Integrated Dermatology of Enfield, LLC 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 Integrated Dermatology of Enfield, LLC?
- The authorized official listed on Integrated Dermatology of Enfield, LLC's NPPES record is Jeffrey Queen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Enfield, LLC's NPI active?
- Yes — Integrated Dermatology of Enfield, LLC's NPI (1134544661) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.