OrganizationActive
Coastal Dermatology, P.C.
NPI 1992890362 · Dermatology Physician · Mystic, CT
Coastal Dermatology, P.C. is a Dermatology Physician organization in Mystic, CT (NPI 1992890362).
Provider details
- NPI number
- 1992890362
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniella Duke, President(860) 245-0000
- License
- 035895 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
55 Willow Street
Mystic, CT 06355
Phone: (860) 245-0000
Fax: (860) 245-0610
Street-level locationGet directions
Mailing address
55 Willow Street
Mystic, CT 06355
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Coastal Dermatology, P.C.'s NPI number?
- Coastal Dermatology, P.C.'s National Provider Identifier (NPI) is 1992890362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Dermatology, P.C.?
- Coastal Dermatology, P.C. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Dermatology, P.C. located?
- Coastal Dermatology, P.C.'s practice location on file with NPPES is 55 Willow Street, Mystic, CT 06355.
- What is Coastal Dermatology, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Coastal Dermatology, P.C. is (860) 245-0000.
- Who is the authorized official for Coastal Dermatology, P.C.?
- The authorized official listed on Coastal Dermatology, P.C.'s NPPES record is Daniella Duke, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Dermatology, P.C.'s NPI active?
- Yes — Coastal Dermatology, P.C.'s NPI (1992890362) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.