The Dermatology Center of Connecticut, LLC
NPI 1922633213 · Dermatology Physician · Wallingford, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Dermatology Center of Connecticut, LLC is a Dermatology Physician organization in Wallingford, CT (NPI 1922633213).
Provider details
- NPI number
- 1922633213
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Boldon, Owner(203) 907-8474
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
6 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
- 2020-03-06
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Frequently asked questions
- What is The Dermatology Center of Connecticut, LLC's NPI number?
- The Dermatology Center of Connecticut, LLC's National Provider Identifier (NPI) is 1922633213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Dermatology Center of Connecticut, LLC?
- The Dermatology Center of Connecticut, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is The Dermatology Center of Connecticut, LLC located?
- The Dermatology Center of Connecticut, LLC's practice location on file with NPPES is 60 Church St Unit 4b, Wallingford, CT 06492-2340.
- What is The Dermatology Center of Connecticut, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Dermatology Center of Connecticut, LLC is (203) 907-8474.
- Does The Dermatology Center of Connecticut, LLC accept Medicare?
- The Dermatology Center of Connecticut, 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 The Dermatology Center of Connecticut, LLC?
- The authorized official listed on The Dermatology Center of Connecticut, LLC's NPPES record is Kimberly Boldon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Dermatology Center of Connecticut, LLC's NPI active?
- Yes — The Dermatology Center of Connecticut, LLC's NPI (1922633213) is active in the NPPES registry as of the last update on 2020-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.