NPIMap

Organization Active NPI

Total Vein and Skin LLC

Doing business as Premier Dermatology Partners

  • Dermatology Physician
  • Delray Beach, FL
National Provider Identifier
1467158964
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TOTAL VEIN AND SKIN LLC
Doing business as
Premier Dermatology Partners
Practice address
3100 S Federal Hwy Ste 8
Delray Beach, FL 33483-3320
Phone
(561) 278-1362
Fax
(561) 278-4383
NPI assigned
Feb 6, 2023
Organization subpart
Yes
Parent organization
TOTAL VEIN AND SKIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Joshua Matthew Berlin, MD
Title
Owner
Phone
(561) 739-5252

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X

Addresses

Primary practice location

3100 S Federal Hwy Ste 8
Delray Beach, FL 33483-3320

Mailing address

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Other names 1

  • Premier Dermatology Partners Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2229267Premier Dermatology Partners3100 S Federal Hwy - Ste 8, Delray Beach, FL 33483Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Total Vein and Skin LLC7 organizations share this tax ID, including this one
Part of
Total Vein and Skin LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 S Federal Hwy
Ste 8
Delray Beach, FL 33483
Phone (561) 278-1362

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1467158964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 HAGEN RANCH RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373782",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S FEDERAL HWY STE 8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833320",
            "telephone_number": "561-278-1362",
            "fax_number": "561-278-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VEIN AND SKIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL VEIN AND SKIN LLC",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-739-5252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dermatology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.