Individual provider Active NPI

Laura Beth Rosenzweig, M.D.

  • MOHS-Micrographic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1689857427
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
201000776 Issued in NC
Practice address
5815 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5732
Phone
(704) 542-2220
Fax
(704) 542-3304
NPI assigned
Dec 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 201000776 NC
Dermatology Physician 207N00000X 2008006404 MO
Dermatology Physician 207N00000X 137689 DC
MOHS-Micrographic Surgery Physician 207ND0101X 201000776 NC Primary

Addresses

Primary practice location

5815 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5732

Mailing address

1072 X Ray Dr
Gastonia, NC 28054-7498
Phone (704) 671-1094

Other practice location 1

309 S Sharon Amity Rd
Charlotte, NC 28211-2978
Phone (704) 344-8846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20100716000784 NC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8123191277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of South Carolina School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians

Practice addresses (Care Compare)

5815 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5732
Phone (704) 542-2220

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions640
Removal of skin cancer884
Removal or shaving of skin growth1-10
Skin biopsy253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137689DCMDDermatology Physician
2008006404MOMDDermatology Physician
201000776NCMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Plastic Surgery & Dermatology PA Dermatology CurrentSince Jul 1, 2010 Accepting new patients
Piedmont Plastic Surgery and Dermatology Dermatology PastSince Jul 1, 2010 Accepting new patients

Locations

5815 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 542-2220

309 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 446-2360

1072 X Ray Dr
Gastonia, NC 28054
Phone (704) 671-1094

959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1689857427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547498",
            "telephone_number": "704-671-1094",
            "fax_number": "704-671-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BLAKENEY PARK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775732",
            "telephone_number": "704-542-2220",
            "fax_number": "704-542-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 S Sharon Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112978",
            "country_code": "US",
            "telephone_number": "704-344-8846",
            "fax_number": "704-344-9844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-16",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "201000776",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2008006404",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "137689",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "201000776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.