Integrated Dermatology of Waterbury, LLC
NPI 1588136220 · Dermatology Physician · Waterbury, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Dermatology of Waterbury, LLC is a Dermatology Physician organization in Waterbury, CT (NPI 1588136220).
Provider details
- NPI number
- 1588136220
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Plotkin, Authorized Group Official(561) 314-2000
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 493 Heritage Rd Ste 5c-1Southbury, CT 06488-3879Phone: (203) 757-1585Fax: (203) 757-0300
- 464 Wolcott Rd Ste 3Wolcott, CT 06716-2663Phone: (203) 879-6171Fax: (203) 879-1191
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Integrated Dermatology of Waterbury, LLC's NPI number?
- Integrated Dermatology of Waterbury, LLC's National Provider Identifier (NPI) is 1588136220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Dermatology of Waterbury, LLC?
- Integrated Dermatology of Waterbury, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Dermatology of Waterbury, LLC located?
- Integrated Dermatology of Waterbury, LLC's practice location on file with NPPES is 1078 W Main St, Waterbury, CT 06708-2651.
- What is Integrated Dermatology of Waterbury, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Dermatology of Waterbury, LLC is (203) 757-1585.
- Does Integrated Dermatology of Waterbury, LLC accept Medicare?
- Integrated Dermatology of Waterbury, 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 Waterbury, LLC?
- The authorized official listed on Integrated Dermatology of Waterbury, LLC's NPPES record is Adam Plotkin, Authorized Group Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Dermatology of Waterbury, LLC's NPI active?
- Yes — Integrated Dermatology of Waterbury, LLC's NPI (1588136220) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.