Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn Cole MD Ny LLC

Organization Dermatology Physician · NPI 1063139186

Shawn Cole MD Ny LLC is a Dermatology Physician in Bloomfield, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Cottage Grove Rd
Bloomfield, CT 06002-2920
Phone: (800) 400-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1063139186
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawn Cole MD Ny LLC
Authorized official Sue-Ann Adrians — Gp Pm · (945) 275-1345
Other names Mdlive Medical Group Of New York
NPI enumeratedOctober 20, 2022
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing addressPo Box 5006, Hartford, CT 06102-5006

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