Saybrook Dermatology LLC
NPI 1902909708 · Dermatology Physician · Old Saybrook, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Saybrook Dermatology LLC is a Dermatology Physician organization in Old Saybrook, CT (NPI 1902909708).
Provider details
- NPI number
- 1902909708
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Heather Larson, Office Manager(860) 388-9799
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
19 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
- 2006-09-07
- Last updated
- 2020-05-25
- Certified
- 2020-05-25
Frequently asked questions
- What is Saybrook Dermatology LLC's NPI number?
- Saybrook Dermatology LLC's National Provider Identifier (NPI) is 1902909708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Saybrook Dermatology LLC?
- Saybrook Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Saybrook Dermatology LLC located?
- Saybrook Dermatology LLC's practice location on file with NPPES is 455 Boston Post Rd Ste 10, Old Saybrook, CT 06475-1554.
- What is Saybrook Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Saybrook Dermatology LLC is (860) 388-9799.
- Does Saybrook Dermatology LLC accept Medicare?
- Saybrook Dermatology 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 Saybrook Dermatology LLC?
- The authorized official listed on Saybrook Dermatology LLC's NPPES record is Heather Larson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Saybrook Dermatology LLC's NPI active?
- Yes — Saybrook Dermatology LLC's NPI (1902909708) is active in the NPPES registry as of the last update on 2020-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.