Individual provider Active NPI

Jany Sanchez, MD

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1366440729
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 83858 Issued in FL
Practice address
13055 SW 42ND St
Suite 210
Miami, FL 33175-3406
Phone
(305) 485-8666
Fax
(305) 485-0575
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 ME 83858 FL Primary

Addresses

Primary practice location

13055 SW 42ND St
Suite 210
Miami, FL 33175-3406

Mailing address

12365 SW 43Rd St
Miami, FL 33175-4211
Phone (305) 485-8666

Other identifiers 1

IdentifierTypeStateIssuer
263953000MedicaidFL

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
I20120727000093 FL Practitioner - Dermatology 2365607439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Medical Associates, P.a.Group PAC ID 8123283298, 2 clinicians

Practice addresses (Care Compare)

13055 SW 42ND St
Suite 210
Miami, FL 33175-3410
Phone (305) 485-8666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 83858FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Medical Associates, P.a. CurrentSince Mar 14, 2002 Accepting new patients

Locations

13055 SW 42nd St
Ste 210
Miami, FL 33175
Phone (305) 485-8666

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1366440729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12365 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754211",
            "telephone_number": "305-485-8666",
            "fax_number": "305-485-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST",
            "address_2": "SUITE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753406",
            "telephone_number": "305-485-8666",
            "fax_number": "305-485-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JANY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 83858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263953000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.