Lenzy Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

243134 Issued in MA

Legal business name

LENZY DERMATOLOGY PC

Doing business as

Lenzy Dermatology & Hair Loss Center

Practice address

1176 Memorial Dr
Chicopee, MA 01020-3958

Phone

(413) 331-3676

Fax

(413) 331-4489

NPI assigned

Mar 27, 2014

Last updated

Jan 20, 2015By 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

Yolanda Lenzy, MDNPI 1992831309

Title

Owner/Authorized Rep

Phone

(413) 331-3676

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lenzy Dermatology & Hair Loss Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

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.

• Yolanda M Lenzy, MD

  • Dermatology Physician
  • Chicopee, MA
  • NPI 1992831309
  Medicare reassignment Care Compare group NPD Authorized official
• Ryan Christopher Mogadam

  • Medical Physician Assistant
  • Chicopee, MA
  • NPI 1558964445
  Medicare reassignment Care Compare group
• Julia Rose Fiore, MHS, PA-C

  • Medical Physician Assistant
  • Agawam, MA
  • NPI 1215331384
  Medicare reassignment

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1134546187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 MEMORIAL DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203958",
            "telephone_number": "413-331-3676",
            "fax_number": "413-331-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MEMORIAL DR",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010203958",
            "telephone_number": "413-331-3676",
            "fax_number": "413-331-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENZY DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "LENZY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED REP",
        "authorized_official_telephone_number": "413-331-3676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MA",
            "license": "243134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100891A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenzy Dermatology & Hair Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinh Le, PHARMD
• William Le
• Veronica Lecko, BACHELORS
• Maya Leiva, PHARMD
• Katelyn Rose Lentes
• Yolanda M Lenzy, MD
• David Harry Leombruno, PTA
• Stephanie Nicole Lepage
• Yekaterina Levchyk
• Maria Andrea Lewis, R.PH.

• Dermatology Physician in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.