Deroberts Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DEROBERTS PLASTIC SURGERY PLLC

Practice address

4850 Broad Rd
Suite 2G
Syracuse, NY 13215-5100

Phone

(315) 299-5313

Fax

(315) 299-5661

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dean Deroberts, MD

Title

President

Phone

(315) 299-5313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1740588607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "SUITE 2G",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155100",
            "telephone_number": "315-299-5313",
            "fax_number": "315-299-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEROBERTS PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "DEROBERTS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-299-5313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Medicine MSG
• Department of Veterans Affairs
• Aimee B Derbyshire
• Dean Edgar Derbyshire, PHARM.D.
• Lauren Deritter, RPH
• Dean Deroberts, MD
• Nicole M Derosa, PSY.D., BCBA-D, LBA
• Alexa Dersovitz
• Anthony Sydney Desa, MBBS.
• Parth Desai

• All providers in Syracuse, NY
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.