Caley Dougherty, FNP

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

F342268-1 Issued in NY

Practice address

141 Sullys TRL Ste 11
Pittsford, NY 14534-4563

Phone

(585) 381-5800

Fax

(585) 348-9461

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Dermatology of Rochester PLLCGroup PAC ID 3971751801, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dougherty1@rochester.emadirect.md

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.

• Comprehensive Dermatology of Rochester, PLLC

  • Dermatology Physician
  • Pittsford, NY
  • NPI 1710235536
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1396256491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL STE 11",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-381-5800",
            "fax_number": "585-348-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SULLYS TRL STE 11",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344563",
            "telephone_number": "585-381-5800",
            "fax_number": "585-348-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "CALEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "F342268-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rose Donatello, LCSW
• David Richard Donnelly, BCBA
• Samantha Violet Donowski
• Jack Michael Dorkhom, D.M.D.
• Tiffany Marie Double, LCSW
• Dr. Anthony L. Ricci, DDS
• Dr. Nicholas Holub, Evolve Psychological Services, PLLC
• Dr. Todd Deneen - Psychological Services, PLLC
• Matthew Jon Driscoll, D.C.
• Karyn A. Ducey, R.N.

• Dermatology Physician in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.

Verify at the official NPI Registry.