Maria A Derosa, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0094071 Issued in NY

Practice address

730 Weiland Rd
Rochester, NY 14626-3919

Phone

(585) 730-9600

Fax

(585) 719-9872

NPI assigned

Aug 11, 2005

Last updated

Mar 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greece Dermatological Associates PCGroup PAC ID 3678581394, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Greece Dermatological Associates, PC

  • Dermatology Physician
  • Rochester, NY
  • NPI 1437244498
  Medicare reassignment Care Compare group
• Rochester General Hospital

  dba Rochester General Medical Groups

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712
  Medicare reassignment NPD
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD
• Gastroenterology Group of Rochester, LLP

  • Gastroenterology Physician
  • Rochester, NY
  • NPI 1366535940
  NPD (past)
• Greece Obstetrics and Gynecology Group LLP

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1386743052
  NPD (past)
• Rochester Colon and Rectal Surgeons, PC

  • Colon & Rectal Surgery Physician
  • Rochester, NY
  • NPI 1396702411
  NPD (past)
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1740282508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "SUITE 105",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-8940",
            "fax_number": "585-232-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WEILAND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263919",
            "telephone_number": "585-730-9600",
            "fax_number": "585-719-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0094071",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "009407-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Partners of Western New York, LLP
• Dermatopathology Associates
• John Agop Dermesropian, DMD
• Jennifer Deroller, M.S., ATR-BC, LCAT
• Alana Derooy
• Tara A Derosa
• Thomas A Derosa, D.D.S.
• Angel Derose, CASAC
• Patrick A Derose, D.D.S.
• Shannon Derose, RPA-C

• Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.