Individual provider Active NPI

Yana Veyberman Ignatovich, M.D.

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1003925215
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
252405 Issued in NY
Practice address
120 Erie Canal Dr
Rochester, NY 14626-4607
Phone
(585) 719-9600
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 252405 NY Primary

Addresses

Primary practice location

120 Erie Canal Dr
Rochester, NY 14626-4607

Mailing address

120 Erie Canal Dr
Rochester, NY 14626-4607
Phone (585) 719-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000362 NY Practitioner - Dermatology 2567518384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greece Dermatological Associates PCGroup PAC ID 3678581394, 8 clinicians

Practice addresses (Care Compare)

120 Erie Canal Dr
Suite 200
Rochester, NY 14626-4609
Phone (585) 719-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions1947
Removal or shaving of skin growth38
Skin biopsy287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1003925215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264607",
            "telephone_number": "585-719-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264607",
            "telephone_number": "585-719-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATOVICH",
        "first_name": "YANA",
        "middle_name": "VEYBERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "252405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.