Active NPI
Leslie Z Rohaidy, PA-C
- Procedural Dermatology Physician
- Miami, FL
National Provider Identifier
1477114197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 9112088
- Practice address
- 55 SE 6TH St Apt 3101
Miami, FL 33131-2570 - Phone
- (305) 781-9797
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 9112088 | FL | Primary |
Addresses
Primary practice location
55 SE 6TH St Apt 3101
Miami, FL 33131-2570
Mailing address
55 SE 6TH St Apt 3101
Miami, FL 33131-2570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9112088 | Other | AESTHETICS | |
| PA9112088 | Other | FL | AESTHETICS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OHMD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112088 | FL | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1477114197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SE 6TH ST APT 3101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SE 6TH ST APT 3101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312570",
"telephone_number": "305-781-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHAIDY",
"first_name": "LESLIE",
"middle_name": "Z",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "9112088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AESTHETICS",
"identifier": "PA9112088",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AESTHETICS",
"identifier": "PA9112088",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OHMD",
"affiliation": "N",
"endpointDescription": "HIPAA Compliant messaging",
"address_1": "55 SE 6th St Apt 3101",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331312570",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.