Active NPI
Comprehensive Dermatology of Rochester, PLLC
- Dermatology Physician
- Pittsford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2424371
- Legal business name
- COMPREHENSIVE DERMATOLOGY OF ROCHESTER, PLLC
- Practice address
- 135 Sullys TRL
Suite 7
Pittsford, NY 14534-4564 - Phone
- (585) 381-5800
- Fax
- (585) 348-9461
- NPI assigned
- Aug 28, 2012
- Last updated
- May 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manasi Kadam Ladrigan, MD
- Title
- Physician
- Phone
- (585) 381-5800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2424371 | NY | Primary |
Addresses
Primary practice location
135 Sullys TRL
Suite 7
Pittsford, NY 14534-4564
Mailing address
135 Sullys TRL
Suite 7
Pittsford, NY 14534-4564
Phone (585) 381-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J100078800 | Other | NY | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
135 Sullys Trl
Ste 7
Pittsford, NY 14534
Phone (585) 381-5800
141 Sullys Trl
Ste 11
Pittsford, NY 14534
Phone (585) 381-5800
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Dermatology Physician
- Rochester, NY
- NPI 1366457814
-
- Dermatology Physician
- Pittsford, NY
- NPI 1275095705
-
- Dermatology Physician
- Pittsford, NY
- NPI 1396256491
-
- Family Nurse Practitioner
- Pittsford, NY
- NPI 1538831680
-
- Family Nurse Practitioner
- Rochester, NY
- NPI 1467370049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1710235536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 SULLYS TRL",
"address_2": "SUITE 7",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344564",
"telephone_number": "585-381-5800",
"fax_number": "585-348-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 SULLYS TRL",
"address_2": "SUITE 7",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344564",
"telephone_number": "585-381-5800",
"fax_number": "585-348-9461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE DERMATOLOGY OF ROCHESTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-28",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "LADRIGAN",
"authorized_official_first_name": "MANASI",
"authorized_official_middle_name": "KADAM",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "585-381-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "2424371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "J100078800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.