Organization Active NPI

Dermatology Center of Rockland, P.C.

  • Specialist
  • Orangeburg, NY
National Provider Identifier
1083681456
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DERMATOLOGY CENTER OF ROCKLAND, P.C.
Practice address
60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone
(845) 359-4770
Fax
(845) 359-0017
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Ms. Laura A Sferlazza
Title
Manager
Phone
(845) 359-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723

Mailing address

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1723
Phone (845) 359-4770

Other identifiers 1

IdentifierTypeStateIssuer
CG1647OtherRAILROAD MEDICARE

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address eknobler@directaddress.net Health Information Exchange (HIE)
Direct Messaging Address jfogelman@directaddress.net Health Information Exchange (HIE)
Direct Messaging Address rcohen@directaddress.net Health Information Exchange (HIE)
Direct Messaging Address agoldstein@directaddress.net Health Information Exchange (HIE)
Direct Messaging Address iolhoffer@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091215000197 NY Part B Supplier - Clinic/Group Practice 0446140750 Receives reassigned benefits from 7 practitioners
Practice locations: Orangeburg, NY

National Provider Directory

National Provider Directory

Locations

60 Dutch Hill Rd
Ste 18
Orangeburg, NY 10962
Phone (845) 359-4770

Interoperability endpoints

  • Direct secure messaging: agoldstein@directaddress.net
  • Direct secure messaging: iolhoffer@directaddress.net
  • Direct secure messaging: jfogelman@directaddress.net
  • Direct secure messaging: rcohen@directaddress.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1083681456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 18",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER OF ROCKLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "SFERLAZZA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-359-4770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1647",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eknobler@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd",
            "address_2": "Suite 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfogelman@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd",
            "address_2": "Suite 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcohen@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd",
            "address_2": "Suite 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoldstein@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd",
            "address_2": "Suite 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iolhoffer@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "60 Dutch Hill Rd",
            "address_2": "Suite 18",
            "city": "Orangeburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109621723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.