NPIMap

Organization Active NPI

Total Vein and Skin LLC

Doing business as Premier Dermatology Partners

  • Dermatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1114789963
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TOTAL VEIN AND SKIN LLC
Doing business as
Premier Dermatology Partners
Practice address
5353 N Federal Hwy Ste 303
Ft Lauderdale, FL 33308-3236
Phone
(954) 860-7500
Fax
(954) 860-7550
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TOTAL VEIN AND SKIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Joshua Matthew Berlin, M.D.NPI 1548241573
Title
Owner
Phone
(561) 739-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

5353 N Federal Hwy Ste 303
Ft Lauderdale, FL 33308-3236

Mailing address

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Other names 1

  • Premier Dermatology Partners Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2292928Premier Dermatology Partners5353 N Federal Highway, Suite 303, Fort Lauderdale, FL 33308AccreditationJun 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Total Vein and Skin LLC7 organizations share this tax ID, including this one
Part of
Total Vein and Skin LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5353 N Federal Hwy
Ste 303
Ft Lauderdale, FL 33308
Phone (954) 860-7500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1114789963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 HAGEN RANCH RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373782",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 N FEDERAL HWY STE 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083236",
            "telephone_number": "954-860-7500",
            "fax_number": "954-860-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VEIN AND SKIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL VEIN AND SKIN LLC",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-739-5252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dermatology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.