University Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

UNIVERSITY DERMATOLOGY ASSOCIATES

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 275-7546

NPI assigned

Jun 24, 2006

Last updated

Aug 11, 2022By the provider in NPPES

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 2

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

Locations

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Baughman, FNP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1730740358

  Dermatology

  Medicare reassignment Care Compare group NPD
• Lisa Ann Beck, M.D.

  • Dermatology Physician
  • Rochester, NY
  • NPI 1780649681
  Medicare reassignment Care Compare group NPD
• Paul Blackcloud, M.D.

  • Dermatology Physician
  • Rochester, NY
  • NPI 1417319187
  Medicare reassignment Care Compare group NPD
• Marc D Brown, MD

  • MOHS-Micrographic Surgery Physician
  • Rochester, NY
  • NPI 1508893165
  Medicare reassignment Care Compare group NPD
• Josephine D'Angelo

  • Student in an Organized Health Care Education/Training Program
  • Syracuse, NY
  • NPI 1962080283
  Medicare reassignment Care Compare group NPD
• Anna De Benedetto, M.D.

  • Dermatology Physician
  • Rochester, NY
  • NPI 1346658069
  Medicare reassignment Care Compare group NPD
• Abigail L Donnelly, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1417618190
  Medicare reassignment Care Compare group NPD
• Jinia El Feghaly, MD

  • Dermatology Physician
  • Rochester, NY
  • NPI 1689337677

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• David James Field, NP

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1417643404
  Medicare reassignment Care Compare group NPD
• Clayton Baron Green, M.D.,PH.D.

  • Dermatology Physician
  • Canandaigua, NY
  • NPI 1194942151
  Medicare reassignment Care Compare group NPD
• Franki Lenae Lambert Smith, M.D.

  • Dermatology Physician
  • Rochester, NY
  • NPI 1629205562
  Medicare reassignment Care Compare group NPD
• Irina Lerman, MD, PHD

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
  • NPI 1790304749
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1609802362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 278797",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-487-1400"
        },
        {
            "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": "585-275-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Celebration Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202664",
            "country_code": "US",
            "telephone_number": "585-275-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Red Creek Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146234281",
            "country_code": "US",
            "telephone_number": "585-487-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 West Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144201309",
            "country_code": "US",
            "telephone_number": "585-275-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "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": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00729171",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS OF ROCHESTER",
            "identifier": "G0183268590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unity Linden Oaks Surgery Center (West Fall Surgery Center)
• Unity Linden Oaks Surgery Center, LLC
• Universal Care Services, LLC
• University Cardiothoracic Surgery Group
• University Dental Faculty Practice Group
• University Medical Imaging PC
• University of Rochester (Strong Memorial Hospital Psych)
• University of Rochester (ASC Pharmacy)
• University of Rochester (University Rochester Long Term Care Pharmacy)
• University of Rochester (University of Rochester Specialty Pharmacy)

• 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 Aug 11, 2022; 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.