James C Prezzano MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JAMES C PREZZANO MD PLLC

Practice address

212 Highbridge St Ste a
Fayetteville, NY 13066-1981

Phone

(585) 314-3290

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

James C Prezzano, MDNPI 1538554753

Title

Ceo

Phone

(585) 314-3290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Prezzano, M.D.

  • Dermatology Physician
  • Fayetteville, NY
  • NPI 1538554753
  Medicare reassignment Care Compare group NPD Authorized official
• Katharine Shields, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
  • NPI 1588210850
  Medicare reassignment Care Compare group NPD
• Abigail Hunt Dugo, PA

  • Physician Assistant
  • Syracuse, NY
  • NPI 1679279467
  Care Compare group NPD
• Elise Christine Deluke, M.D.

  • Dermatology Physician
  • Amherst, NY
  • NPI 1265708267
  NPD (past)
• Daniel Robert Green

  • Physician Assistant
  • Fayetteville, NY
  • NPI 1700288966
  NPD (past)
• Robert P Morris, MD

  • Dermatology Physician
  • Homer, NY
  • NPI 1700866217
  NPD (past)
• Michael Nathen Warren, MPAS, PA-C

  • Physician Assistant
  • Fayetteville, NY
  • NPI 1114329810

  Dermatology

  NPD (past)
• Rebecca Lynn Martin, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1447579172
  NPD (past)
• Michael Paul Terribile II, PHYSICIAN ASSISTANT

  • Dermatology Physician
  • Rock Hill, SC
  • NPI 1720140643
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1548844798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 RED SPRUCE LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048313",
            "telephone_number": "585-314-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGHBRIDGE ST STE A",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661981",
            "telephone_number": "585-314-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C PREZZANO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "PREZZANO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-314-3290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Iorio, M.D.
• Ismail Medicine, PLLC
• Shareen Ismail, M.D.
• Stephen J Jackowski, RPA
• Cynthia Jackson, M.D.
• Alexis James, LMHC
• Jamesville Dewitt CSD
• Izabela Lidia Jaremko
• Mary Elizabeth Jeannotte, PHD
• Jeffrey a. Meltzer, D.M.D.,P.C.

• Dermatology Physician in Fayetteville, NY
• Providers in Fayetteville, 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 Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.