Individual provider Active NPI

Donna April Serure, D.O.

  • Dermatology Physician
  • Smithtown, NY
National Provider Identifier
1356494231
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
205536-1 Issued in NY
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

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2K3501OtherNYBC/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000010 NY Practitioner - Dermatology 9335159953 Reassigns benefits to 2 organizations

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 100Reported as individual
Quality
34.36
Promoting interoperability
68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions650
Removal of skin cancer1-10
Removal of nail tissue1-10
Skin biopsy196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205536-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Dermatology, PC Dermatology CurrentSince Feb 2, 2026 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery CurrentSince Feb 2, 2026 Accepting new patients
Dr Donna a Serure, Dermatology & Cosmetic Laser Surgery, PC Dermatology CurrentSince May 16, 2001 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.

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

Verify at the official NPI Registry.