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Elite Dermatology Physicians Pllc

Dermatology Physician in New Canaan, CT · enumerated 2024 · authorized official Ellen De Moll, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003644402

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Registry record

Entity type Organization (Type 2)
Legal business name Elite Dermatology Physicians Pllc
Practice address 38 East Ave, New Canaan, CT, 06840
Enumeration date Jul 25, 2024
Last updated in NPPES Jul 25, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ellen De Moll
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Elite Dermatology Physicians Pllc?
The NPI for Elite Dermatology Physicians Pllc is 1003644402, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Elite Dermatology Physicians Pllc?
NPPES lists Ellen De Moll (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-25.