DERMATOLOGY ASSOCIATES OF ROCHESTER, PC
NPI 1174632285
Specialist in Rochester, NY
- Organization
- Specialist
- CLIA Number: 33D0173631
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-18-2027
About DERMATOLOGY ASSOCIATES OF ROCHESTER, PC
This page provides the complete NPI Profile along with additional information for Dermatology Associates Of Rochester, Pc, a provider established in Rochester, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1174632285 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert W Loss Jr. M.d. (President)
- NPI
- 1174632285 Verify this NPI
- Provider Name
- DERMATOLOGY ASSOCIATES OF ROCHESTER, PC
- Entity Type
- Organization
- Location Address
- 100 WHITE SPRUCE BLVD ROCHESTER, NY 14623
- Location Phone
- (585) 272-0700
- Location Fax
- (585) 697-0822
- Mailing Address
- 100 WHITE SPRUCE BLVD ROCHESTER, NY 14623
- Mailing Phone
- (585) 272-0700
- Mailing Fax
- (585) 697-0822
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0173631
- Facility Type
- Physician Office
- Certificate Effective Date
- October 19, 2025
- Certificate Expiration Date
- October 18, 2027
- Laboratory Director
- DR. JOSHUA WEITZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dermatology Associates Of Rochester, Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCHESTER, NY 14623
ROCHESTER, NY 14623
ROCHESTER, NY 14623
ROCHESTER, NY 14623
ROCHESTER, NY 14623
ROCHESTER, NY 14623
ROCHESTER, NY 14623
ROCHESTER, NY 14623
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174632285, enumerated as an "organization" on August 30, 2006.
The provider is located at 100 WHITE SPRUCE BLVD ROCHESTER, NY 14623 and the phone number is (585) 272-0700.
Specialist with taxonomy code 174400000X.