Individual provider Active NPI

Roy G Geronemus, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1730172685
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
143037-1 Issued in NY
Practice address
110 E 60TH St RM 1108
New York, NY 10022-1821
Phone
(212) 663-0400
Fax
(212) 663-0400
NPI assigned
Aug 25, 2005
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 143037-1 NY Primary

Addresses

Primary practice location

110 E 60TH St RM 1108
New York, NY 10022-1821

Mailing address

110 E 60TH St RM 1108
New York, NY 10022-1821
Phone (212) 663-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040909001333 NY Practitioner - Dermatology 7517933575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E 60TH St
RM 1108
New York, NY 10022-1821
Phone (212) 663-0400

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions69
Skin biopsy53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143037-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
RGG Medicine PLLC CurrentSince Feb 12, 2025 Accepting new patients

Locations

110 E 60th St
Rm 1108
New York, NY 10022
Phone (212) 663-0400

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1730172685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221821",
            "telephone_number": "212-663-0400",
            "fax_number": "212-663-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221821",
            "telephone_number": "212-663-0400",
            "fax_number": "212-663-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONEMUS",
        "first_name": "ROY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "143037-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.