Jeffrey Robert Laduca, PH. D, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

214949 Issued in NY

Practice address

144 Standart Ave
Auburn, NY 13021-1508

Phone

(315) 255-1100

Fax

(315) 255-1322

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

State University of Ny Upstate Medical University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Auburn Dermatology PLLCGroup PAC ID 5890131247, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Auburn Dermatology PLLC

  • Dermatology Physician
  • Auburn, NY
  • NPI 1275221053
  Medicare reassignment Care Compare group NPD
• Jeffrey Laduca MD PC

  • Specialist
  • Auburn, NY
  • NPI 1760653380
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation
• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1053371450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STANDART AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211508",
            "telephone_number": "315-255-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 STANDART AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211508",
            "telephone_number": "315-255-1100",
            "fax_number": "315-255-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUCA",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH. D, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "214949-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "214949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02309960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie F. Kuhlmann, R.N.
• Svetlana Kuksgauzen, RN
• Angela Marie Kulis, RN
• Monica Maureen Lacey-Hastings, LMSW
• Chad Michael Lachance, P.T., D.P.T.
• Lake Region Urology
• Lakes Radiology PLLC
• Rachel Jan Lamay, MT
• Landers Chiropractic, PC
• Brian F. Landers, DC

• Dermatology Physician in Auburn, NY
• Providers in Auburn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.