SOH SKIN & SURGERY, PLLC
NPI 1760154090
Dermatology - MOHS-Micrographic Surgery in Rochester, NY

Q: What is Soh Skin & Surgery, PLLC's NPI number?

The NPI number for Soh Skin & Surgery, PLLC is 1760154090. It was assigned to this organization in the NPPES registry on October 5, 2021.

Q: What is Soh Skin & Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since October 05, 2021CLIA 33D2241821 · Certificate of Compliance

505 BEAHAN RD, ROCHESTER, NY 14624(716) 755-6647 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Oct 21, 2022, Oct 5, 2021 (3 updates tracked since 2021).

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About Soh Skin & Surgery, Pllc NPPES

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

SOH SKIN & SURGERY, PLLC (NPI 1760154090) is a healthcare organization registered as a mohs-micrographic surgery in Rochester, New York and active in the NPI registry since October 2021. The organization holds a CLIA Certificate of Compliance certificate valid through June 26, 2027 and lists Jonathan Soh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760154090

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSOH SKIN & SURGERY, PLLC

Location Address505 BEAHAN RDRochester, NY 14624-3403

Mailing Address505 Beahan RdRochester, NY 14624-3403 · (585) 877-6647 · Fax (585) 877-6648

Phone(716) 755-6647

Organization SubpartNo

Authorized OfficialJonathan SohCeo · (716) 912-6096

Enumeration DateOctober 5, 2021

Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1760154090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

505 BEAHAN RD, Rochester, NY 14624

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soh Skin & Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew YorkEnrollment IDO20211011001258Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Soh Skin & Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jonathan Soh, M.D.

Dermatology

NPI 1104271840

505 BEAHAN RD
Rochester, NY 14624

(716) 755-6647

✔ PECOS✔ Accepts MedicareSame address

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 33D2241821

Soh Skin & Surgery PLLC · Rochester, NY

Active · expires Jun 26, 2027

CLIA Number33D2241821

Laboratory TypePhysician Office

Certificate Effective DateJune 27, 2025

Certificate Expiration DateJune 26, 2027

Laboratory DirectorDr. Jonathan M. Soh

Laboratory Phone(585) 877-6647

Laboratory LocationSoh Skin & Surgery PLLC505 Beahan Road, Rochester, NY 14624

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 Soh Skin & Surgery, PLLC's NPI number?

The NPI number for Soh Skin & Surgery, PLLC is 1760154090. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Soh Skin & Surgery, PLLC located?

Soh Skin & Surgery, PLLC is located at 505 Beahan Rd, Rochester, NY 14624. The listed phone number is (716) 755-6647.

What is Soh Skin & Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Soh Skin & Surgery, PLLC enrolled in Medicare?

Yes. Soh Skin & Surgery, PLLC is registered in the Medicare PECOS enrollment system.

When is Soh Skin & Surgery, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Soh Skin & Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Soh Skin & Surgery, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Soh Skin & Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2241821) is associated with this NPI, valid through June 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 Soh Skin & Surgery, PLLC was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.