Active NPI
Celia Reznitsky, PA-C
- Physician Assistant
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9112523
- Practice address
- 2630 NE 203Rd St Ste 105
Miami, FL 33180-1903 - Phone
- (305) 692-8998
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9112523 | FL | Primary |
Addresses
Primary practice location
2630 NE 203Rd St Ste 105
Miami, FL 33180-1903
Mailing address
1101 NE 170TH St
Miami, FL 33162-2633
Phone (305) 989-9367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11630 Glen Arm Rd
Glen Arm, MD 21057-9403
Phone (877) 345-5300
13801 York Rd
Cockeysville, MD 21030-1825
Phone (877) 345-5300
300 International Cir
Cockeysville, MD 21030-1300
Phone (877) 345-5300
300 Saint Luke Cir
Westminster, MD 21158-4174
Phone (877) 345-5300
3050 Military Rd NW
Washington, DC 20015-1341
Phone (877) 345-5300
3110 Gracefield Rd
Silver Spring, MD 20904-1820
Phone (877) 345-5300
3160 Gracefield Rd
Silver Spring, MD 20904-1986
Phone (877) 345-5300
3200 Baker Cir
Adamstown, MD 21710-9653
Phone (877) 345-5300
615 Chestnut Ave
Towson, MD 21204-3742
Phone (877) 345-5300
701 King Farm Blvd
Rockville, MD 20850-6165
Phone (877) 345-5300
709 Maiden Choice LN
Catonsville, MD 21228-3934
Phone (877) 345-5300
711 Maiden Choice LN
Catonsville, MD 21228-3632
Phone (877) 345-5300
721 Maiden Choice LN
Catonsville, MD 21228-6205
Phone (877) 345-5300
800 Bestgate Rd
Annapolis, MD 21401-3016
Phone (877) 345-5300
8507 Mapleville Rd
Boonsboro, MD 21713-1818
Phone (877) 345-5300
8800 Walther Blvd
Oak Crest Senior Living
Parkville, MD 21234-9001
Phone (877) 345-5300
8832 Walther Blvd
Renaissance Gardens at Oak Crest
Parkville, MD 21234-9020
Phone (877) 345-5300
9657 Belair Rd
Nottingham, MD 21236-1124
Phone (877) 345-5300
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112523 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resnik Dermatology Aventura, PA | Current | Accepting new patients |
Locations
2630 NE 203rd St
Ste 105
Miami, FL 33180
Phone (305) 692-8998
Organizations & group practices 2
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.
-
- Dermatology Physician
- Aventura, FL
- NPI 1740409911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1295379444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 NE 170TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331622633",
"telephone_number": "305-989-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 NE 203RD ST STE 105",
"city": "MIAMI",
"state": "FL",
"postal_code": "331801903",
"telephone_number": "305-692-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNITSKY",
"first_name": "CELIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112523",
"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 Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.