Dermatology Associates of Rochester, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DERMATOLOGY ASSOCIATES OF ROCHESTER, PC

Practice address

100 White Spruce Blvd
Rochester, NY 14623-1507

Phone

(585) 272-0700

Fax

(585) 697-0822

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By 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

Robert W Loss Jr., M.D.

Title

President

Phone

(585) 272-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Dr. Fazeli & Dr. Broumand LLC

  • Dermatology Physician
  • Fayetteville, NY
  • NPI 1336235639

  Member Of

  NPD member

Practitioners 19

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.

• Ella P Bement, PA-C

  • Physician Assistant
  • Rochester, NY
  • NPI 1821976242
  Medicare reassignment Care Compare group NPD
• Brittane Marie Fetterman, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1275131807
  Medicare reassignment Care Compare group NPD
• Kassie Anna Haitz, M.D.

  • Dermatology Physician
  • Rochester, NY
  • NPI 1316180995
  Medicare reassignment Care Compare group NPD
• Patrick Kupiec, MD

  • Dermatology Physician
  • Rochester, NY
  • NPI 1881126837
  Medicare reassignment Care Compare group NPD
• Lesley C Loss, MD

  • Dermatology Physician
  • Rochester, NY
  • NPI 1104942424
  Medicare reassignment Care Compare group NPD
• Danielle Cristina Rawleigh, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1477173193
  Medicare reassignment Care Compare group NPD
• Pooja Salguti Reddy, M.D.

  • Dermatology Physician
  • Rochester, NY
  • NPI 1225598774
  Medicare reassignment Care Compare group NPD
• Malgorzata Jolanta Sass, N.P.

  • Adult Health Nurse Practitioner
  • Rochester, NY
  • NPI 1477646164
  Medicare reassignment Care Compare group NPD
• Victoria N Shevlin, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1174191530
  Medicare reassignment Care Compare group NPD
• John H Tu, MD

  • Dermatology Physician
  • Rochester, NY
  • NPI 1508897083
  Medicare reassignment Care Compare group NPD
• Hailey Lynn West, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1326688433
  Medicare reassignment Care Compare group NPD
• Calvin J. Young, M.D.

  • Plastic Surgery Physician
  • Rochester, NY
  • NPI 1952628406
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174632285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231507",
            "telephone_number": "585-272-0700",
            "fax_number": "585-697-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231507",
            "telephone_number": "585-272-0700",
            "fax_number": "585-697-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF ROCHESTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-272-0700",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy S. Derivan, MS, LMHC
• Meghan Rose Derleth, MD
• Joanne Antinore Dermady, MS, NCC, LMHC, CEAP
• Dermatology &Cosmetic Center of Rochester
• Dermatology and Cosmetic Practice of Rochester PLLC
• Dermatology Partners of Western New York, LLP
• Dermatopathology Associates
• John Agop Dermesropian, DMD
• Jennifer Deroller, M.S., ATR-BC, LCAT
• Alana Derooy

• Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.