Individual provider Active NPI

Nicole M Rochet, M.D.

  • Dermatology Physician
  • Hollywood, FL
National Provider Identifier
1114361730
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
136865 Issued in FL
Practice address
3850 Hollywood Blvd Ste 301
Hollywood, FL 33021-6745
Phone
(954) 961-1200
NPI assigned
Apr 25, 2013
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 136865 FL Primary

Addresses

Primary practice location

3850 Hollywood Blvd Ste 301
Hollywood, FL 33021-6745

Mailing address

PO Box 270032
San Juan, PR 00928-2832

Other practice location 1

Jose De Diego Avenue
108
San Juan, PR 00927
Phone (787) 615-2750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117000363 GA Practitioner - Dermatology 5395089783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery Center. P.C.Group PAC ID 5193625945, 10 clinicians

Practice addresses (Care Compare)

210 Village Ctr Pkwy
Stockbridge, GA 30281-9044
Phone (770) 474-5952

Merit-based Incentive Payment System (MIPS)

Final score
94.61 of 100Reported as group
Quality
89.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions1089
Removal of nail tissue1-10
Skin biopsy277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136865FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Skin Surgery Center, P.C. Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

210 Village Center Pkwy
Stockbridge, GA 30281
Phone (770) 474-5952

Interoperability endpoints

  • Direct secure messaging: nrochet@skinsxcenter.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1114361730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270032",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009282832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216745",
            "telephone_number": "954-961-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Jose De Diego Avenue",
            "address_2": "108",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-615-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHET",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "136865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.