Douglas Jan Pravda, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB03272500 Issued in NJ

Practice address

9003 SE Hawks Nest CT
Hobe Sound, FL 33455-8927

Phone

(908) 241-3181

Fax

(908) 241-1669

NPI assigned

Feb 2, 2006

Last updated

May 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Dermatology, LLC

  dba Metropolitan Dermatology

  • Dermatology Physician
  • Staten Island, NY
  • NPI 1417316274
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1427020718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 WATCHUNG FRK",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903816",
            "telephone_number": "908-233-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 SE HAWKS NEST CT",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558927",
            "telephone_number": "908-241-3181",
            "fax_number": "908-241-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVDA",
        "first_name": "DOUGLAS",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB03272500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "US-292",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL CREDENTIALING",
            "identifier": "10664103",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCE COMPANIES",
            "identifier": "127381096",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Lester Pichler, DDS
• Dana Pierce
• Gracia Martin Pierre-Pierre, M.D
• Tara Lynn Pinnacoli, LCSW
• Positive Behavior Supports Corp
• Precision Bone and Joint Surgery Center
• Julie B Price, M.D.
• Prime PT & Wellness, LLC
• Publix Super Markets Inc (Publix Pharmacy #0571)
• Publix Super Markets, Inc (Publix Pharmacy 1585)

• Dermatology Physician in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.