Individual provider Active NPI

Leslie Z Rohaidy, PA-C

  • Procedural Dermatology Physician
  • Miami, FL
National Provider Identifier
1477114197
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
9112088 Issued in FL
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

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PA9112088OtherAESTHETICS
PA9112088OtherFLAESTHETICS

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
9112088FLMDProcedural 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.

Verify at the official NPI Registry.