G Dermatology, PLLC.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

G DERMATOLOGY, PLLC.

Practice address

48 NW 25TH St Ste 102
Miami, FL 33127-4442

Phone

(201) 214-2299

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Simone Gruner, PA

Title

Owner

Phone

(201) 214-2299

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1689318826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 PINE TREE DR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NW 25TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274442",
            "telephone_number": "201-214-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G DERMATOLOGY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "GRUNER",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-214-2299",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gdermatologypllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "48 NW 25th St Ste 102",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331274442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.