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

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: August 16, 2026.

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

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

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL PATRICK MCMULLEN M.D.
Family Medicine
505 BEAHAN RD
ROCHESTER, NY 14624
Monroe County (585) 426-1470
JONATHAN MATTHEW SOH M.D.
Dermatology (MOHS-Micrographic Surgery)
505 BEAHAN RD
ROCHESTER, NY 14624
Monroe County (716) 755-6647
MICHAEL P. MCMULLEN M.D. P.C.
Family Medicine
505 BEAHAN RD
ROCHESTER, NY 14624
Monroe County (585) 426-1470

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.

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.