Pediatric Plastic Surgery of the University of Rochester

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 758-7671

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Jill M Hetterich

Title

Senior Director of Finance Urmfg

Phone

(585) 756-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Morgan E Marcus, FNP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1811347347

  Plastic and Reconstructive Surgery

  Medicare reassignment Care Compare group NPD
• Clinton S. Morrison, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Rochester, NY
  • NPI 1245433614
  Medicare reassignment Care Compare group NPD
• Sara Neimanis, MD

  • Plastic Surgery Physician
  • Atlanta, GA
  • NPI 1174940225

  NY

  Medicare reassignment Care Compare group NPD
• Melisande Joy Ploutz, PNP

  • Pediatric Nurse Practitioner
  • Rochester, NY
  • NPI 1487091617
  Medicare reassignment NPD
• Madison Hailey Fariello, PA

  • Physician Assistant
  • Rochester, NY
  • NPI 1740035088
  Medicare reassignment
• Ming-Che Shen, PA

  • Physician Assistant
  • Rochester, NY
  • NPI 1306290168
  Medicare reassignment

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1609024462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 635",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-784-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-758-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PLASTIC SURGERY OF THE UNIVERSITY OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE URMFG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03071987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Medical Supply, Inc.
• Pediatric Metabolism Endercrenology
• Pediatric Neonatal
• Pediatric Newborn Nursery
• Pediatric Physical Therapy Services, PLLC
• Pediatric Pulmonology
• Pediatric Radiology of the University of Rochester
• Pediatrics & Adolescent Medicine Group
• Pediatrics Hematolgy Onocology
• Joanne L Pedro Carroll, PHD

• Plastic and Reconstructive Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.