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UNIVERSITY DERMATOLOGY ASSOCIATES
NPI 1609802362
Dermatology in Rochester, NY

Active since June 24, 2006CLIA 33D2014645 · Certificate of Compliance
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-7546 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2022, Aug 22, 2019, Dec 8, 2017 (3 updates tracked since 2017).

About University Dermatology Associates NPPES

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

UNIVERSITY DERMATOLOGY ASSOCIATES (NPI 1609802362) is a healthcare organization registered as a dermatology in Rochester, New York and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027, maintains 3 additional practice locations, and lists Jill M Hetterich, Senior Director Of Finance Urmfg, as its authorized official.

NPPES Registry Identity

NPI1609802362
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUNIVERSITY DERMATOLOGY ASSOCIATES
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 278797Rochester, NY 14642-0001 · (585) 487-1400
Phone(585) 275-7546
Organization SubpartNo
Authorized OfficialJill M HetterichSenior Director Of Finance Urmfg · (585) 756-4008
Enumeration DateJune 24, 2006
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1609802362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
601 ELMWOOD AVE, Rochester, NY 14642
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Secondary Practice Locations 3

Location 140 Celebration DrRochester, NY 14620-2664 · Phone (585) 275-7546
Location 2400 Red Creek Dr Ste 200Rochester, NY 14623-4281 · Phone (585) 487-1400
Location 380 West Ave Ste 205Brockport, NY 14420-1309 · Phone (585) 275-7546

Other Identifiers 2

OtherG0183268590NY · Excellus Of Rochester
Medicaid00729171NY

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)

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

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to University Dermatology Associates, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology25
Nurse Practitioner16
Pathology1
Psychiatry1

Nearest to this location (20)

See all 43
Lisa Beck, M.D.
Dermatology
NPI 1780649681
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-7546
✔ PECOS✔ Accepts MedicareSame address
Marc Brown, MD
Dermatology
NPI 1508893165
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-9208
✔ PECOS✔ Accepts MedicareSame address
Maria Cordisco, M.D.
Dermatology
NPI 1700217544
601 ELMWOOD AVE BOX 697
Rochester, NY 14642
(585) 275-3872
✔ PECOS✔ Accepts MedicareSame address
Anna Debenedetto, M.D.
Dermatology
NPI 1346658069
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-7546
✔ PECOS✔ Accepts MedicareSame address
Abigail Donnelly, FNP-BC
Nurse Practitioner
NPI 1417618190
601 ELMWOOD AVE BOX 697
Rochester, NY 14642
(773) 751-1860
✔ PECOS✔ Accepts MedicareSame address
David Field, NP
Nurse Practitioner
NPI 1417643404
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-5823
✔ PECOS✔ Accepts MedicareSame address
Virginia Hanchett, NP
Nurse Practitioner
NPI 1891724233
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-7546
✔ PECOS✔ Accepts MedicareSame address
Irina Lerman, MD, PHD
Pathology
NPI 1790304749
601 ELMWOOD AVE. AC-5 GENERAL MEDICINE CLINIC 696
Rochester, NY 14642
(585) 275-5681
✔ PECOS✔ Accepts MedicareSame address
Mary Gail Mercurio, MD
Dermatology
NPI 1447287008
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-7546
✔ PECOS✔ Accepts MedicareSame address
Alice Pentland, MD
Dermatology
NPI 1215966718
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-7546
✔ PECOS✔ Accepts MedicareSame address
Christopher Richardson, MD
Dermatology
NPI 1245573575
601 ELMWOOD AVE BOX MED
Rochester, NY 14642
(585) 275-2222
✔ PECOS✔ Accepts MedicareSame address
Francisco Tausk, MD
Dermatology
NPI 1235174251
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-7546
✔ PECOS✔ Accepts MedicareSame address
Lauren Baughman, FNP
Nurse Practitioner
NPI 1730740358
40 CELEBRATION DR
Rochester, NY 14620
(585) 275-7546
✔ PECOS✔ Accepts Medicare0.2 mi
Paul Blackcloud, M.D.
Dermatology
NPI 1417319187
40 CELEBRATION DR
Rochester, NY 14620
(585) 275-7546
✔ PECOS✔ Accepts Medicare0.2 mi
Jinia El Feghaly, MD
Dermatology
NPI 1689337677
40 CELEBRATION DR
Rochester, NY 14620
(585) 275-7546
✔ PECOS✔ Accepts Medicare0.2 mi
Franki Lambert Smith, M.D.
Dermatology
NPI 1629205562
40 CELEBRATION DR
Rochester, NY 14620
(585) 275-7546
✔ PECOS✔ Accepts Medicare0.2 mi
Alison Moy, NP
Nurse Practitioner
NPI 1467024687
40 CELEBRATION DR
Rochester, NY 14620
(585) 275-7546
✔ PECOS✔ Accepts Medicare0.2 mi
Alison Moynihan, MD, PHD
Dermatology
NPI 1598258634
40 CELEBRATION DR
Rochester, NY 14620
(585) 275-7546
✔ PECOS✔ Accepts Medicare0.2 mi
Carline Orelien
Nurse Practitioner
NPI 1063364438
40 CELEBRATION DR
Rochester, NY 14620
(585) 276-3000
✔ PECOS0.2 mi
Margaret Puelle, MD
Psychiatry
NPI 1073019378
300 CRITTENDEN BLVD BOX PSYCH EDUCATION
Rochester, NY 14642
(585) 274-1278
✔ PECOS✔ Accepts Medicare0.2 mi
See all 43 clinicians

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 33D2014645

University Dermatology Associates · Rochester, NY
Active · expires Mar 26, 2027
CLIA Number33D2014645
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 14, 2010
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMarc D. Brpwn
Laboratory Phone(585) 487-1417
Laboratory LocationUniversity Dermatology Associates400 Red Creek Drive, Suite 200, Rochester, NY 14623
CLIA data matches this NPI record on: Address Name
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 University Dermatology Associates's NPI number?

The NPI number for University Dermatology Associates is 1609802362. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is University Dermatology Associates located?

University Dermatology Associates is located at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-7546.

What is University Dermatology Associates's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is University Dermatology Associates enrolled in Medicare?

Yes. University Dermatology Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Dermatology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 4 Medicare specialties reassign their Medicare billing to University Dermatology Associates. 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 Dermatology (25), Nurse Practitioner (16) and Pathology (1). Of these, 12 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does University Dermatology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2014645) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Dermatology Associates was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.