Harib H Ezaldein, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME148896 Issued in FL

Practice address

4770 Biscayne Blvd Ste 900
Miami, FL 33137-3232

Phone

(305) 404-3376

Fax

(305) 404-6367

NPI assigned

Apr 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

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 2

Specialty

Dermatology

Education

Yale University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Consultants PAGroup PAC ID 7214948124, 4 clinicians

Miami Dermatology and Mohs Surgery PLLCGroup PAC ID 5597139261, 2 clinicians

Flor Mayoral-Vega MD PAGroup PAC ID 7719888494, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dermatology Consultants PA

  • Dermatology Physician
  • Miramar, FL
  • NPI 1689815904
  Medicare reassignment Care Compare group NPD
• Flor Mayoral-Vega MD PA

  • Dermatology Physician
  • South Miami, FL
  • NPI 1366557357
  Medicare reassignment Care Compare group NPD
• Miami Dermatology and Mohs Surgery, PLLC

  • Dermatology Physician
  • Miami, FL
  • NPI 1891430336
  Medicare reassignment Care Compare group
• Dermatology Consultants of Asheville PLLC

  • Dermatology Physician
  • Woodfin, NC
  • NPI 1558848093
  Medicare reassignment NPD

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1689037962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 900",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373232",
            "telephone_number": "305-404-3376",
            "fax_number": "305-404-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 900",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373232",
            "telephone_number": "305-404-3376",
            "fax_number": "305-404-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZALDEIN",
        "first_name": "HARIB",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2023-03031",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME148896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MOHS-Micrographic Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.