Elias Dermatology LLC

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

License

OS9756 Issued in FL

Legal business name

ELIAS DERMATOLOGY LLC

Practice address

3100 E Commercial Blvd
Fort Lauderdale, FL 33308-4327

Phone

(415) 802-1310

Fax

(954) 771-0582

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Elias, D.O.NPI 1114118163

Title

Manager Member

Phone

(415) 802-1310

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew J Elias, D.O.

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1114118163
  Medicare reassignment Care Compare group NPD Authorized official
• Francessca L Brettschneider, MD

  • Dermatopathology (Pathology) Physician
  • Aventura, FL
  • NPI 1871663088
  Medicare reassignment Care Compare group NPD
• Merrick David Elias, D.O.

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1932314960
  Medicare reassignment Care Compare group NPD
• Dbora Lee, PA-C

  • Physician Assistant
  • Margate, FL
  • NPI 1013506146
  Medicare reassignment Care Compare group
• Athena Philomena Rossi, PA-S

  • Physician Assistant
  • Orlando, FL
  • NPI 1396637211
  Medicare reassignment NPD

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1487042636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "415-802-1310",
            "fax_number": "954-771-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "415-802-1310",
            "fax_number": "954-771-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAS DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "415-802-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9756",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS9756",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "OS9756",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "FL",
            "license": "OS9756",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "OS9756",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "OS9756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate & Align Behavior LLC
• Elevated Ortho Care PLLC
• Elevating Growth, LLC
• Galal Elgazzaz, M.D
• Noel L Elgut, M.D.
• Elaine Elias
• Matthew J Elias, D.O.
• Merrick David Elias, D.O.
• Serena Elias, AP, DA, DIPL.AC.
• Ralph Martin Elie, PHARMD

• Dermatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.