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DERMATOLOGY ASSOCIATES OF ROCHESTER, PC
NPI 1174632285
Specialist in Rochester, NY

Active since August 30, 2006CLIA 33D0173631 · Certificate of Compliance
100 WHITE SPRUCE BLVD, ROCHESTER, NY 14623(585) 272-0700(585) 697-0822 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermatology Associates Of Rochester, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY ASSOCIATES OF ROCHESTER, PC (NPI 1174632285) is a healthcare organization registered as a specialist in Rochester, New York and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 29, 2028 and lists Robert W Loss, President, as its authorized official.

NPPES Registry Identity

NPI1174632285
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY ASSOCIATES OF ROCHESTER, PC
Location Address100 WHITE SPRUCE BLVDRochester, NY 14623-1507
Mailing Address100 White Spruce BlvdRochester, NY 14623-1507 · (585) 272-0700 · Fax (585) 697-0822
Phone(585) 272-0700
Fax(585) 697-0822
Organization SubpartNo
Authorized OfficialRobert W LossPresident · (585) 272-0700
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174632285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 WHITE SPRUCE BLVD, Rochester, NY 14623
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Associates Of Rochester, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Dermatology Associates Of Rochester, PC, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner8
Dermatology6
Allergy/Immunology1
Pediatric Medicine1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (17)

Larissa Dobrzynski, NP
Nurse Practitioner
NPI 1215390539
100 WHITE SPRUCE BLVD STE 1
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Patrick Kupiec, MD
Dermatology
NPI 1881126837
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Danielle Rawleigh, NP
Nurse Practitioner
NPI 1477173193
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Pooja Reddy, M.D.
Dermatology
NPI 1225598774
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Malgorzata Sass, N.P.
Nurse Practitioner
NPI 1477646164
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
John Tu, MD
Dermatology
NPI 1508897083
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Calvin Young, M.D.
Plastic and Reconstructive Surgery
NPI 1952628406
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Lesley Loss, MD
Dermatology
NPI 1104942424
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Brittane Fetterman, NP
Nurse Practitioner
NPI 1275131807
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Victoria Shevlin, NP
Nurse Practitioner
NPI 1174191530
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Hailey West, NP
Nurse Practitioner
NPI 1326688433
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Jennifer Battaglia, MD
Pediatric Medicine
NPI 1902486764
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOSSame address
Kassie Haitz, M.D.
Dermatology
NPI 1316180995
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Thomas Jasterzbski, MD
Dermatology
NPI 1801259098
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOSSame address
Caitlyn Koenig, NP
Nurse Practitioner
NPI 1568015691
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOS✔ Accepts MedicareSame address
Anitha Shrikhande, MD
Allergy/Immunology
NPI 1770788911
100 WHITE SPRUCE BLVD
Rochester, NY 14623
(585) 272-0700
✔ PECOSSame address
Jennifer Mccormick, NP
Nurse Practitioner
NPI 1801248901
43 WILLOW POND WAY SUITE 200
Penfield, NY 14526
(585) 377-5420
✔ PECOS✔ Accepts Medicare8.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0173631

Dermatology Associates Of Rochester · Rochester, NY
Active · expires Aug 29, 2028
CLIA Number33D0173631
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2026
Certificate Expiration DateAugust 29, 2028
Laboratory DirectorDr. Patrick Kupiec
Laboratory Phone(585) 272-0700
Laboratory LocationDermatology Associates Of Rochester100 White Spruce Blvd, Rochester, NY 14623
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Associates Of Rochester, PC's NPI number?

The NPI number for Dermatology Associates Of Rochester, PC is 1174632285. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Dermatology Associates Of Rochester, PC located?

Dermatology Associates Of Rochester, PC is located at 100 White Spruce Blvd, Rochester, NY 14623. The listed phone number is (585) 272-0700.

What is Dermatology Associates Of Rochester, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermatology Associates Of Rochester, PC enrolled in Medicare?

Yes. Dermatology Associates Of Rochester, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Associates Of Rochester, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Dermatology Associates Of Rochester, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Dermatology (6) and Allergy/Immunology (1). Of these, 16 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Associates Of Rochester, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0173631) is associated with this NPI, valid through August 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Rochester, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.