Individual provider Active NPI

Joel Marc Wilentz, MD

  • Dermatology Physician
  • Hallandale Beach, FL
National Provider Identifier
1073519971
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME14840 Issued in FL
Practice address
2100 E Hallandale Beach Blvd
Ste 100
Hallandale Beach, FL 33009-3722
Phone
(954) 454-1066
Fax
(954) 456-4025
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME14840 FL Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd
Ste 100
Hallandale Beach, FL 33009-3722

Mailing address

2100 E Hallandale Beach Blvd
Ste 100
Hallandale Beach, FL 33009-3722
Phone (954) 454-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073519971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "STE 100",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093722",
            "telephone_number": "954-454-1066",
            "fax_number": "954-456-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD",
            "address_2": "STE 100",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093722",
            "telephone_number": "954-454-1066",
            "fax_number": "954-456-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILENTZ",
        "first_name": "JOEL",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME14840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.