Active NPI
Julia Y. Ro, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 027484
- Practice address
- 145 W 86TH St. #1a
Advanced Dermatology, PC
New York, NY 10024 - Phone
- (212) 601-9401
- Fax
- (212) 787-3078
- NPI assigned
- Mar 7, 2015
- Last updated
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7519 | GA | |
| Physician Assistant | 363A00000X | 027484 | NY | Primary |
Addresses
Primary practice location
145 W 86TH St. #1a
Advanced Dermatology, PC
New York, NY 10024
Mailing address
6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 W 86TH St
Suite 1a
New York, NY 10024-3421
Phone (212) 601-9400
4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188
4337 Broadway
New York, NY 10033-2411
Phone (646) 386-1115
449 N State Rd
Suite 203
Briarcliff Manor, NY 10510-1478
Phone (914) 488-8188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007519 | GA | MD | Chiropractor |
| 027484 | NY | MD | Pediatric Occupational Therapist |
| 7519 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard D. Solomon, DO, PC | Past | Accepting new patients | |
| Anthony Buglino DO PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jro@advderm.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- New Hyde Park, NY
- NPI 1134201460
-
- Plastic Surgery Physician
- Woodbury, NY
- NPI 1730582834
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1912390428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LOWELL AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "516-326-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 86TH ST. #1A",
"address_2": "ADVANCED DERMATOLOGY, PC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-601-9401",
"fax_number": "212-787-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RO",
"first_name": "JULIA",
"middle_name": "Y.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-07",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "7519",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.