Active NPI
Dorene Niv
- Dermatology Physician
- Miami, FL
National Provider Identifier
1629471230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS14665
- Practice address
- 2601 SW 37TH Ave Ste 801
Miami, FL 33133-2751 - Phone
- (305) 741-6825
- NPI assigned
- Sep 27, 2014
- Last updated
- Aug 15, 2023
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OS14665 | FL | Primary |
Addresses
Primary practice location
2601 SW 37TH Ave Ste 801
Miami, FL 33133-2751
Mailing address
10433 Milburn LN
Boca Raton, FL 33498-4615
Phone (214) 213-2203
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14665 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vein and Skin LLC | Dermatology | Past | Accepting new patients |
| Jay H Brachfeld MD PA | Dermatology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dermatology Physician
- Boca Raton, FL
- NPI 1619300704
-
dba Premier Dermatology Partners
- Dermatology Physician
- Miami, FL
- NPI 1407552912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1629471230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10433 MILBURN LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334984615",
"telephone_number": "214-213-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 SW 37TH AVE STE 801",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332751",
"telephone_number": "305-741-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIV",
"first_name": "DORENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-27",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS14665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.