Active NPI
Donna April Serure, D.O.
- Dermatology Physician
- Smithtown, NY
National Provider Identifier
1356494231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 205536-1
- Practice address
- 327 E Main St
Smithtown, NY 11787-2905 - Phone
- (631) 979-0909
- Fax
- (631) 979-0455
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 205536-1 | NY | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 205536-1 | NY | |
| Pediatric Dermatology Physician | 207NP0225X | 205536-1 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 205536-1 | NY |
Addresses
Primary practice location
327 E Main St
Smithtown, NY 11787-2905
Mailing address
327 E Main St
Smithtown, NY 11787-2905
Phone (631) 979-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2K3501 | Other | NY | BC/BS PROVIDER ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 E Main St
Smithtown, NY 11787-2905
Phone (631) 979-0909
327 E Middle Country Rd
Smithtown, NY 11787-2905
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.3 of 100
- Quality
- 34.36
- Promoting interoperability
- 68
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 650 |
| Removal of skin cancer | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 196 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205536-1 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockville Dermatology, PC | Dermatology | Current | Accepting new patients |
| Laserderm Dermatology & Cosmetic Laser Surgery | Current | Accepting new patients | |
| Dr Donna a Serure, Dermatology & Cosmetic Laser Surgery, PC | Dermatology | Current | Accepting new patients |
Locations
2000 N Village Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 763-1717
327 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 979-0909
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Smithtown, NY
- NPI 1902959893
-
- Dermatology Physician
- Rockville Centre, NY
- NPI 1356349153
-
- Dermatopathology Physician
- Smithtown, NY
- NPI 1942150131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1356494231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872905",
"telephone_number": "631-979-0909",
"fax_number": "631-979-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872905",
"telephone_number": "631-979-0909",
"fax_number": "631-979-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERURE",
"first_name": "DONNA",
"middle_name": "APRIL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "205536-1",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "205536-1",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "NY",
"license": "205536-1",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "205536-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER ID",
"identifier": "2K3501",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.