South Coast Rochester LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH COAST ROCHESTER LLC

Practice address

840 University Ave
Rochester, NY 14607-1288

Phone

(585) 278-7199

NPI assigned

Oct 5, 2021

Last updated

Apr 3, 2026By 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

George Asher Levine, DDS,MDNPI 1134512726

Title

Owner

Phone

(585) 278-7199

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Labuzetta, MD

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1457734568

  Internal Medicine

  Medicare reassignment NPD
• George Levine, DDS,MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rochester, NY
  • NPI 1134512726

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1114699303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 INDIANA ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146097437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071288",
            "telephone_number": "585-278-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST ROCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ASHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-278-7199",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyla Michelle Soto, LPN
• Morgan Soule
• Thomas Gillette Soule, LCSW
• Anthony J Sousou, MD
• Kristyn E Sousou, NP
• Sandra Gail Southall, RN
• Southeast OB-GYN PC (Southeast Obstetrics & Gynecology PC)
• Southern Cross Medical Products
• Southern Tier Cardiology PLLC
• Southside Medical Supply, LLC

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.