Advanced Dermatology LLC
Advanced Dermatology LLC is a healthcare organization registered as Dermatology Physician in Norwich, CT, holding Type 2 (organization) NPI 1609892298 since 2006. The authorized official on file is Howard Rogers, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609892298 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Dermatology LLC |
| Practice address | 111 SALEM TPKE, SUITE 7, Norwich, CT, 06360 |
| Phone | 8608592262 |
| Fax | 8608599819 |
| Enumeration date | 2006-07-15 |
| Last updated in NPPES | 2008-08-18 |
Authorized official
| Name | Howard Rogers |
|---|---|
| Title | Owner |
| Phone | 8608592262 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | Secondary | 002932 | CT |
| 207N00000X | Dermatology Physician | Primary | 038560 | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB9913 | Other | CT | MEDICARE RAILROAD |
| 222316481 | Other | CT | BCBS |
| 004182680 | Medicaid | CT | — |
Copy-ready billing details
Provider: Advanced Dermatology LLC NPI: 1609892298 Taxonomy: 207N00000X (Dermatology Physician) Address: 111 SALEM TPKE, SUITE 7, Norwich, CT, 06360
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629041728 | Radford Tanksley | Individual | Dermatology Physician | Norwich, CT |
| 1861465973 | Howard Rogers | Individual | Dermatology Physician | Norwich, CT |
| 1609849728 | Christy Socha | Individual | Registered Nurse | Norwich, CT |
| 1649299082 | Beth Conley | Individual | Speech-Language Pathologist | Norwich, CT |
| 1831103530 | Geoffrey Fabry | Individual | Physical Therapist | Norwich, CT |
| 1790849115 | Philip Hritcko | Individual | Pharmacotherapy Pharmacist | Norwich, CT |
| 1083750814 | Victoria Lambert | Individual | Pharmacist | Norwich, CT |
| 1750429197 | Carol Savluk | Individual | Pharmacist | Norwich, CT |
Verify this record
Cross-check NPI 1609892298 against the authoritative CMS record: view Advanced Dermatology LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Advanced Dermatology LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-18.