New Season Dermatology, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

288727 Issued in NY

Legal business name

NEW SEASON DERMATOLOGY, PLLC

Practice address

302 Reynolds Rd Ste a
Johnson City, NY 13790-1308

Phone

(607) 444-5446

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Robert George Egbers, MD, MSCNPI 1790096196

Title

Member

Phone

(607) 444-5446

Specialties & licenses 1

Addresses

Other names 1

• Anew Dermatology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert George Egbers, M.D.

  • MOHS-Micrographic Surgery Physician
  • Johnson City, NY
  • NPI 1790096196
  Medicare reassignment Care Compare group NPD Authorized official
• Natalie Roney, M.D.

  • Dermatology Physician
  • Johnson City, NY
  • NPI 1073622239
  Medicare reassignment Care Compare group NPD
• Marion Eunice Berbano Tamesis, M.D.

  • Dermatology Physician
  • Johnson City, NY
  • NPI 1821022344
  Medicare reassignment Care Compare group NPD
• Julie A Luckman

  • Physician Assistant
  • Horseheads, NY
  • NPI 1871868208
  Medicare reassignment Care Compare group
• Shane R O'Neil, PA

  • Physician Assistant
  • Johnson City, NY
  • NPI 1922350073
  Medicare reassignment Care Compare group
• Carri L Ross, PA

  • Dermatology Physician
  • Vestal, NY
  • NPI 1124009261
  Medicare reassignment Care Compare group
• Kelly Marie Reynolds, PA

  • Physician Assistant
  • Sayre, PA
  • NPI 1730427071

  NY

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1992215180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446",
            "fax_number": "607-444-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD STE A",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SEASON DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "EGBERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "607-444-5446",
        "authorized_official_credential": "MD, MSC"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "288727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@newdermatology.ezderm.info",
            "affiliation": "N",
            "endpointDescription": "for healthcare professionals only, not for patient use",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "302 Reynolds Rd Ste A",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137901308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Anew Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safa Naman, MD
• Meghana Naraparaju
• Changa Natarajan, MD
• Robert Edward Neigh, AUDIOLOGY
• Emily Neu
• Muhammad Junaid Niaz, MD
• Katherine M Nichols, PA
• Joshua Nickels
• Enid Esther Nixon
• Irenee Niyongombwa, MD

• MOHS-Micrographic Surgery Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.