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

Last updated

Mar 2, 2011By the provider in NPPES

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, MDNPI 1396771424

Title

President

Phone

(315) 299-5313

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Dean Deroberts, MD

  • Plastic Surgery Physician
  • Syracuse, NY
  • NPI 1396771424
  Authorized official Same address or phone

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 Veterans Affairs
• Deqa Transportation LCC
• 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

• Plastic Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• 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.