Organization Active NPI

Glosense Dermatology & Aesthetics LLC

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1194588806
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GLOSENSE DERMATOLOGY & AESTHETICS LLC
Practice address
7875 SW 104TH St Ste 203
Miami, FL 33156-2642
Phone
(305) 735-8200
NPI assigned
Feb 5, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Janet Lovato
Title
Credentialing Specialist
Phone
(877) 443-9337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

7875 SW 104TH St Ste 203
Miami, FL 33156-2642

Mailing address

7875 SW 104TH St Ste 203
Miami, FL 33156-2642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227000899 FL Part B Supplier - Clinic/Group Practice 6305281627 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

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
10D2298025Glosense Dermatology & Aesthetics7875 SW 104TH Street Ste 203, Miami, FL 33156Certificate of waiverJan 25, 2028

National Provider Directory

National Provider Directory

Locations

7875 SW 104th St
Ste 203
Miami, FL 33156
Phone (305) 735-8200

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00369

Practitioners & affiliated clinicians

Practitioners 1

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1194588806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 SW 104TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562642",
            "telephone_number": "305-735-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOSENSE DERMATOLOGY & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "LOVATO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "877-443-9337"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.