Individual provider Active NPI

Jonathan Matthew Soh, M.D.

  • MOHS-Micrographic Surgery Physician
  • Rochester, NY
National Provider Identifier
1104271840
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
290940 Issued in NY
Practice address
505 Beahan Rd
Rochester, NY 14624-3403
Phone
(716) 755-6647
Fax
(716) 755-6648
NPI assigned
May 2, 2016
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 290940 NY Primary
Dermatology Physician 207N00000X 290940 NY

Addresses

Primary practice location

505 Beahan Rd
Rochester, NY 14624-3403

Mailing address

505 Beahan Rd
Rochester, NY 14624-3403
Phone (585) 877-6647

Other practice location 1

10 Hagen Dr Ste 300
Rochester, NY 14625-2660
Phone (585) 922-9770

Other practice location 2

7 Evans St
Batavia, NY 14020-3110
Phone (585) 815-6735

Other practice location 3

4 Coulter Rd Ste 1630
Clifton Springs, NY 14432-1122
Phone (315) 462-1495

Other practice location 4

8770 Transit Rd Ste 3
East Amherst, NY 14051-1786
Phone (585) 275-2222

Other practice location 5

2250 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2706
Phone (585) 424-6770

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
I20210915003360 NY Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9638576721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

4302 Gateway Dr
Geneseo, NY 14454-9449
Phone (585) 922-1000

505 Beahan Rd
Rochester, NY 14624-3403
Phone (585) 877-6647

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision133
Removal of tissue21
Removal of skin lesions629
Removal of skin cancer589
Removal or shaving of skin growth31
Skin biopsy323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St John NP in Family Health PLLC CurrentSince Sep 1, 2021 Accepting new patients
Michael P. McMullen M.D. P.C. CurrentSince Oct 5, 2021 Accepting new patients
Soh Skin & Surgery, PLLC Mohs-Micrographic Surgery CurrentSince Oct 5, 2021 Accepting new patients
Rochester General Hospital CurrentSince Oct 4, 2021 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 4, 2021 Accepting new patients
Rochester General Hospital Dermatology CurrentSince Oct 4, 2021 Accepting new patients
Western New York Medical Practice P.C CurrentSince Oct 4, 2021 Accepting new patients
Rochester General Hospital Dermatology Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

7 Evans St
Batavia, NY 14020
Phone (585) 343-1250

4 Coulter Rd
Ste 1630
Clifton Springs, NY 14432
Phone (315) 462-1495

8770 Transit Rd
Ste 3
East Amherst, NY 14051
Phone (716) 245-4431

505 Beahan Rd
Rochester, NY 14624
Phone (585) 426-1470

2250 Brighton Henrietta Town Line Rd
Rochester, NY 14623
Phone (585) 424-6770

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

10 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 922-9770

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGFDD/Endpoint/AJGFDD
  • Direct secure messaging: jonathan.soh@sohskinsurgery.eclinicaldirectplus.com
  • Direct secure messaging: jsoh329878@direct.rochesterregional.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1104271840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BEAHAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243403",
            "telephone_number": "585-877-6647",
            "fax_number": "585-877-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BEAHAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243403",
            "telephone_number": "716-755-6647",
            "fax_number": "716-755-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hagen Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252660",
            "country_code": "US",
            "telephone_number": "585-922-9770",
            "fax_number": "585-922-9733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Evans St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140203110",
            "country_code": "US",
            "telephone_number": "585-815-6735",
            "fax_number": "585-815-6752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Coulter Rd Ste 1630",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1495",
            "fax_number": "315-462-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8770 Transit Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140511786",
            "country_code": "US",
            "telephone_number": "585-275-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Brighton Henrietta Town Line Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146232706",
            "country_code": "US",
            "telephone_number": "585-424-6770",
            "fax_number": "585-424-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOH",
        "first_name": "JONATHAN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "290940",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "290940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.