Michael Benjamin Bobrow, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

210151 Issued in NY

Practice address

120 Erie Canal Dr Ste 200
Rochester, NY 14626-4609

Phone

(585) 719-9600

Fax

(585) 719-9872

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Rochester School of Medicine and Dentistry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greece Dermatological Associates PCGroup PAC ID 3678581394, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greece Dermatological Associates, PC

  • Dermatology Physician
  • Rochester, NY
  • NPI 1437244498
  Medicare reassignment Care Compare group Authorized official
• University Dermatology Associates

  • Dermatology Physician
  • Rochester, NY
  • NPI 1609802362
  Medicare reassignment NPD
• University Dermatology Associates

  • Dermatology Physician
  • Batavia, NY
  • NPI 1558437616
  NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1467416768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264609",
            "telephone_number": "585-719-9600",
            "fax_number": "585-719-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ERIE CANAL DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264609",
            "telephone_number": "585-719-9600",
            "fax_number": "585-719-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "210151",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "210151",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "210151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystin Blunt, RN
• Brian Blyth, M.D.
• Karen Ann Boabk, D.C.
• Kwasi Boaitey, LCSW
• Erik Michael Bobeda, M.D.
• Emma Adeline Bocchino, LCSW, MFT
• Katherine Bochetto, LMSW
• Christina Bochiechio
• Joy Bockstein Abt, D.M.D.
• Sherilyn Rose Bockus

• Dermatology Physician in Rochester, NY
• Providers in Rochester, 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 Nov 10, 2023; 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.