Organization Active NPI

Stephen E Presser M.D. PC

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1477869816
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
149206-1 Issued in NY
Legal business name
STEPHEN E PRESSER M.D. PC
Practice address
1815 South Clinton Avenue
Ste 530
Rochester, NY 14618
Phone
(585) 442-4310
Fax
(585) 442-6750
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mr. Stephen Eric Presser, M.D.
Title
Supervising Physician
Phone
(585) 442-4310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 149206-1 NY Primary

Addresses

Primary practice location

1815 South Clinton Avenue
Ste 530
Rochester, NY 14618

Mailing address

1815 South Clinton Avenue
Ste 530
Rochester, NY 14618
Phone (585) 442-4310

Other names 1

  • Advanced Dermatology Associates Other name

National Provider Directory

National Provider Directory

Locations

114 Court St
Geneseo, NY 14454
Phone (585) 243-5990

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1477869816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SOUTH CLINTON AVENUE",
            "address_2": "STE 530",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-4310",
            "fax_number": "585-442-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SOUTH CLINTON AVENUE",
            "address_2": "STE 530",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-4310",
            "fax_number": "585-442-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E PRESSER M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "PRESSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "585-442-4310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "149206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dermatology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.