Lewis M. Dubroff, M.D.,P.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

131701 Issued in NY

Legal business name

LEWIS M. DUBROFF, M.D.,P.C.

Practice address

475 Irving Ave Ste 314
Syracuse, NY 13210-1528

Phone

(315) 471-3384

NPI assigned

May 13, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lewis M Dubroff, M.D., PH.D.NPI 1952438715

Title

President

Phone

(315) 471-3384

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lewis M Dubroff, M.D., PH.D.

  • Procedural Dermatology Physician
  • Syracuse, NY
  • NPI 1952438715
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1073780540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE STE 314",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101528",
            "telephone_number": "315-471-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE STE 314",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101528",
            "telephone_number": "315-471-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS M. DUBROFF, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DUBROFF",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-471-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "131701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00462675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Stanton Levy, R.PH.-PHARMACIST
• Jay Richard Levy, DPM
• Susan M Levy, LCSW
• Ziva Levy, LMFT CASAC
• Gloria Plato Lewin, CRC, LMHC
• Kaseena Niasa Lewis-Bailey, L.P.N.
• Daniel James Lewis, M.D.
• Dee S Lewis
• James F Lewis, MS NCC CASAC LMHC
• Jody Lewis

• Procedural Dermatology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.