Individual provider Active NPI

Sarit J Itenberg, DO

  • Dermatology Physician
  • Surfside, FL
National Provider Identifier
1508153313
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS18712 Issued in FL
Practice address
9526 Harding Ave
Surfside, FL 33154-2502
Phone
(305) 315-6526
Fax
(786) 401-3721
NPI assigned
Jun 30, 2011
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS18712 FL Primary

Addresses

Primary practice location

9526 Harding Ave
Surfside, FL 33154-2502

Mailing address

9526 Harding Ave
Surfside, FL 33154-2502
Phone (305) 315-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801002244 FL Practitioner - Dermatology 4486805215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9526 Harding Ave
Surfside, FL 33154-2502
Phone (305) 315-6526

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions286
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC Current Accepting new patients
Total Vein and Skin LLC Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Sji Dermatology Dermatology CurrentSince Mar 18, 2024 Accepting new patients
Elliot Professional Services Past Accepting new patients

Locations

10383 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 349-7653

3431 NE 1st Ave
Miami, FL 33137
Phone (786) 527-2693

9526 Harding Ave
Surfside, FL 33154
Phone (305) 315-6526

9528 Harding Ave
Surfside, FL 33154
Phone (305) 865-2281

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

262 S River Rd
Ste 101
Bedford, NH 03110

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

721 Chestnut St
Manchester, NH 03104
Phone (603) 668-0858

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00393

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1508153313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 HARDING AVE",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542502",
            "telephone_number": "305-315-6526",
            "fax_number": "786-401-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 HARDING AVE",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542502",
            "telephone_number": "305-315-6526",
            "fax_number": "786-401-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITENBERG",
        "first_name": "SARIT",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS18712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside, FL

Sources for this page

Verify at the official NPI Registry.