Farmington Valley Dermatology and Surgery, LLC
NPI 1164835153 · Dermatology Physician · Avon, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Farmington Valley Dermatology and Surgery, LLC is a Dermatology Physician organization in Avon, CT (NPI 1164835153).
Provider details
- NPI number
- 1164835153
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sadaf Waqar, Owner(860) 674-9900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
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
2 documented practice locations
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
Additional practice locations (1)
- 2400 Tamarack Ave Ste 203South Windsor, CT 06074-5559Phone: (860) 674-9900
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Farmington Valley Dermatology and Surgery, LLC's NPI number?
- Farmington Valley Dermatology and Surgery, LLC's National Provider Identifier (NPI) is 1164835153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Farmington Valley Dermatology and Surgery, LLC?
- Farmington Valley Dermatology and Surgery, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Farmington Valley Dermatology and Surgery, LLC located?
- Farmington Valley Dermatology and Surgery, LLC's practice location on file with NPPES is 30 W Avon Rd Ste E, Avon, CT 06001-3678.
- What is Farmington Valley Dermatology and Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Farmington Valley Dermatology and Surgery, LLC is (860) 674-9900.
- Does Farmington Valley Dermatology and Surgery, LLC accept Medicare?
- Farmington Valley Dermatology and Surgery, 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 Farmington Valley Dermatology and Surgery, LLC?
- The authorized official listed on Farmington Valley Dermatology and Surgery, LLC's NPPES record is Sadaf Waqar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Farmington Valley Dermatology and Surgery, LLC's NPI active?
- Yes — Farmington Valley Dermatology and Surgery, LLC's NPI (1164835153) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.