Individual provider Active NPI

David Jay Hecker, MD

  • Dermatology Physician
  • Pompano Beach, FL
National Provider Identifier
1235248238
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME78709 Issued in FL
Practice address
3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone
(954) 781-2969
Fax
(954) 781-2889
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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 ME78709 FL Primary

Addresses

Primary practice location

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445

Mailing address

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone (954) 781-2969

Other identifiers 1

IdentifierTypeStateIssuer
E3146VOtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080710000155 FL Practitioner - Dermatology 3476625385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians
Hecker Dermatology Group P.a.Group PAC ID 4082655113, 2 clinicians

Practice addresses (Care Compare)

3275 N State Rd
Suite 7
Margate, FL 33063-7011
Phone (954) 974-3664

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone (954) 783-2323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision59
Removal of skin lesions790
Removal or shaving of skin growth1-10
Skin biopsy379

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Mar 6, 2023 Accepting new patients
Hecker Dermatology Group P.a. CurrentSince Jan 4, 2010 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

3275 N State Road 7
Margate, FL 33063
Phone (954) 974-3664

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

3500 NE 5th Ave
Pompano Beach, FL 33064
Phone (954) 781-2969

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

7710 NW 71st Ct
Ste 203
Tamarac, FL 33321
Phone (954) 721-3008

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1235248238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-781-2969",
            "fax_number": "954-781-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-781-2969",
            "fax_number": "954-781-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKER",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME78709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "E3146V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.