Brian Poligone, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

248958 Issued in NY

Practice address

6800 Pittsford Palmyra Rd Ste 150
Fairport, NY 14450-3503

Phone

(585) 364-1177

NPI assigned

Jun 19, 2007

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of North Carolina at Chapel Hill School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Universal Dermatology, PLLCGroup PAC ID 0143538710, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rochester Skin Lymphoma Medical Group, PLLC

  • Dermatology Physician
  • Fairport, NY
  • NPI 1699150060
  Medicare reassignment NPD Authorized official
• Universal Dermatology, PLLC

  • Dermatology Physician
  • Fairport, NY
  • NPI 1013304070
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Rochester

  dba Strong Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1871798868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD STE 150",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503503",
            "telephone_number": "585-364-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD STE 150",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503503",
            "telephone_number": "585-364-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIGONE",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "248958",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "045363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02990105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Alan Pfeffer, PH.D.
• Melissa Marie Phillips, OT
• Alyssa Ann Pickett, M.S. CCC-SLP
• Rafaelina Plasencia, LPN
• Donna W Polen, LCAT, MT-BC
• Jodi Polis
• Michael Lawrence Polizzi
• Kristin Jean Pond, M.S. C.A.S.
• Alyssa M Poole, OTR/L
• Brittany Chardonnay Popovich, RD

• Dermatology Physician in Fairport, NY
• Providers in Fairport, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.