Individual provider Active NPI

Shani Studnik, DO

  • Dermatology Physician
  • Weston, FL
National Provider Identifier
1366447906
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS7756 Issued in FL
Practice address
17170 Royal Palm Blvd
Weston, FL 33326-2339
Phone
(954) 349-3376
Fax
(954) 385-8572
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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 OS7756 FL Primary

Addresses

Primary practice location

17170 Royal Palm Blvd
Weston, FL 33326-2339

Mailing address

17170 Royal Palm Blvd
Weston, FL 33326-2339
Phone (954) 349-3376

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
I20100324001068 FL Practitioner - Dermatology 5092841411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nova Southeastern College of Osteo Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

13660 S Jog Rd
Suite 8
Delray Beach, FL 33446-3806
Phone (561) 637-4040

17170 Royal Palm Blvd
Weston, FL 33326-2339
Phone (954) 349-3376

2925 Aventura Blvd
Suite 205
Aventura, FL 33180-3108
Phone (305) 933-6716

2999 NE 191St St
PH 1
Aventura, FL 33180-3116
Phone (305) 933-1151

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1274
Skin biopsy499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7756FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Jun 19, 2001 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

2999 NE 191st St
Ph 1
Aventura, FL 33180
Phone (305) 405-6910

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

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

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

17170 Royal Palm Blvd
Weston, FL 33326
Phone (954) 349-3376

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1366447906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17170 ROYAL PALM BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262339",
            "telephone_number": "954-349-3376",
            "fax_number": "954-385-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 ROYAL PALM BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262339",
            "telephone_number": "954-349-3376",
            "fax_number": "954-385-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDNIK",
        "first_name": "SHANI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.