Dermatology & Cutaneous Surgery Institute (Dcsi), PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS10492 Issued in FL

Legal business name

DERMATOLOGY & CUTANEOUS SURGERY INSTITUTE (DCSI), PA

Practice address

12788 Forest Hill Blvd Ste 1004
Wellington, FL 33414-4703

Phone

(561) 246-1791

Fax

(614) 696-4565

NPI assigned

Oct 15, 2013

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mounir Wassef, D.O.NPI 1659512366

Title

Owner

Phone

(561) 246-1791

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mounir Makram Wassef, D.O.

  • Dermatology Physician
  • Wellington, FL
  • NPI 1659512366
  Medicare reassignment NPD Authorized official
• Kristen M Hafner, P.A.

  • Physician Assistant
  • West Palm Beach, FL
  • NPI 1386717155
  Medicare reassignment
• James Robert Watt, D.O.

  • Dermatology Physician
  • Inverness, FL
  • NPI 1366462228
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1053749879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12788 FOREST HILL BLVD STE 1004",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144703",
            "telephone_number": "561-246-1791",
            "fax_number": "561-469-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12788 FOREST HILL BLVD STE 1004",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144703",
            "telephone_number": "561-246-1791",
            "fax_number": "614-696-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & CUTANEOUS SURGERY INSTITUTE (DCSI), PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-246-1791",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS10492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14JU9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Rose Denicola, LMHC
• Briah Denizard
• Jacqueline Denobriga, MD
• Brittany Deonarine
• Kimberly A Depatie, LCSW
• Dermatology Center of Wellington PA
• Julie Derose, LCSW
• Des Cares LLC
• Desiree Garzon, DPM, PA (County Wide Foot, Ankle, and Wound Care)
• Emily Dettinburn

• Dermatology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.