Individual provider Active NPI

Cynthia Golomb, MD

  • Dermatology Physician
  • Hallandale Beach, FL
National Provider Identifier
1619900388
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME74763 Issued in FL
Practice address
100 N Federal Hwy Ste 202
Hallandale Beach, FL 33009-4373
Phone
(855) 465-6621
Fax
(888) 407-3376
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME74763 FL
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X ME74763 FL
Dermatopathology Physician 207ND0900X ME74763 FL
Dermatology Physician 207N00000X ME74763 FL Primary

Addresses

Primary practice location

100 N Federal Hwy Ste 202
Hallandale Beach, FL 33009-4373

Mailing address

100 N Federal Hwy Ste 202
Hallandale Beach, FL 33009-4373
Phone (855) 465-6621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia@dermatologyboutique.ema.md

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
I20050314000467 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Pathology 3072568054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS), Pathology
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Associates of South Florida PAGroup PAC ID 0749599793, 8 clinicians

Practice addresses (Care Compare)

100 N Federal Hwy
Suite 202
Hallandale Beach, FL 33009-4373
Phone (855) 465-6621

4425 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-1871
Phone (305) 443-6606

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as individual
Quality
85.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision78
Removal of skin lesions1667
Removal of skin cancer74
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy577

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Associates of South Florida, P.a. Single Specialty CurrentSince Sep 15, 2015 Accepting new patients
Ioannides and Sanders Dermatology Associates LLC Single Specialty Past Accepting new patients

Locations

4425 Ponce de Leon Blvd
Ste 200
Coral Gables, FL 33146
Phone (305) 443-6606

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1619900388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY STE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094373",
            "telephone_number": "855-465-6621",
            "fax_number": "888-407-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY STE 202",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094373",
            "telephone_number": "855-465-6621",
            "fax_number": "888-407-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOMB",
        "first_name": "CYNTHIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-04-11",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74763",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME74763",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME74763",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME74763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia@dermatologyboutique.ema.md",
            "affiliation": "N",
            "address_1": "100 N Federal Hwy Ste 202",
            "city": "Hallandale Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330094373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.