Individual provider Active NPI

Natalie Roney, M.D.

  • Dermatology Physician
  • Johnson City, NY
National Provider Identifier
1073622239
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
247625 Issued in NY
Practice address
302 Reynolds Rd
Johnson City, NY 13790-1308
Phone
(607) 444-5446
Fax
(607) 444-5447
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD440329 PA
Dermatology Physician 207N00000X 247625 NY Primary

Addresses

Primary practice location

302 Reynolds Rd
Johnson City, NY 13790-1308

Mailing address

302 Reynolds Rd
Ste a
Johnson City, NY 13790-1308
Phone (607) 444-5446

Other identifiers 2

IdentifierTypeStateIssuer
1025090880001MedicaidPA
03246146MedicaidNY

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
I20080702000462 NY Practitioner - Dermatology 2163594318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of Ny Upstate Medical University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Season Dermatology PLLCGroup PAC ID 3577820851, 7 clinicians

Practice addresses (Care Compare)

302 Reynolds Rd
Johnson City, NY 13790-1308
Phone (607) 444-5446

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011

Merit-based Incentive Payment System (MIPS)

Final score
98.88 of 100Reported as group
Quality
97.2
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1141
Removal or shaving of skin growth146
Skin biopsy1019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Apr 1, 2013 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
New Season Dermatology, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Current Accepting new patients
Joseph M Newmark MD PC Dermatology PastSince Sep 4, 2007 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

20-24 S Washington St
Binghamton, NY 13903
Phone (607) 251-2300

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

302 Reynolds Rd
Ste A
Johnson City, NY 13790
Phone (607) 444-5446

302 Reynolds Rd
Johnson City, NY 13790
Phone (607) 296-2181

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

3101 Shippers Rd
Ste 102
Vestal, NY 13850
Phone (607) 251-2100

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

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": "1734480000000",
    "number": "1073622239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD",
            "address_2": "STE A",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446",
            "fax_number": "607-444-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446",
            "fax_number": "607-444-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONEY",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD440329",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "247625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025090880001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03246146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.