Individual provider Active NPI

Stephanie N. Lasky, DO

  • Dermatology Physician
  • Hollywood, FL
National Provider Identifier
1740544956
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS-149238 Issued in FL
Practice address
4340 Sheridan Street
S. 101
Hollywood, FL 33021
Phone
(954) 983-5533
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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 OS-149238 FL Primary

Addresses

Primary practice location

4340 Sheridan Street
S. 101
Hollywood, FL 33021

Mailing address

4340 Sheridan Street
S. 101
Hollywood, FL 33021
Phone (954) 983-5533

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
I20180502002011 FL Practitioner - Dermatology 0749544542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

4340 Sheridan St
Suite 101
Hollywood, FL 33021-3567
Phone (954) 983-5533

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as individual
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions977
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-149238FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince May 5, 2020 Accepting new patients
Clearly Derm, LLC CurrentSince Jan 22, 2018 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients
Sobel & Sofman MD PA Dermatology PastSince May 5, 2020 Accepting new patients

Locations

7000 W Palmetto Park Rd
Ste 110
Boca Raton, FL 33433
Phone (561) 353-3376

1760 N Congress Ave
Ste 200
Boynton Beach, FL 33426
Phone (561) 739-9595

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

2320 NE 62nd St
Ft Lauderdale, FL 33308
Phone (561) 353-3376

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Interoperability endpoints

  • FHIR API: https://clearly.mmi.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1740544956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN STREET",
            "address_2": "S. 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-983-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN STREET",
            "address_2": "S. 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-983-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKY",
        "first_name": "STEPHANIE",
        "middle_name": "N.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS-149238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.