NPIMap

Organization Active NPI

Steven M Hacker MD PA

  • Dermatology Physician
  • Delray Beach, FL
National Provider Identifier
1750407409
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
STEVEN M HACKER MD PA
Practice address
230 George Bush Blvd Ste B
Delray Beach, FL 33444-4035
Phone
(561) 276-3111
Fax
(561) 276-3319
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Sarah Bentley
Title
Office Manager
Phone
(561) 593-4269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X FL Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

230 George Bush Blvd Ste B
Delray Beach, FL 33444-4035

Mailing address

230 George Bush Blvd Ste B
Delray Beach, FL 33444-4035
Phone (561) 276-3111

Other identifiers 1

IdentifierTypeStateIssuer
21485OtherBLUE CROSS BLUE SHIELD

Other names 2

  • Advanced Dermatologic Care and Cancer Doing business as
  • Hacker Dermatology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@dermasurgerygroup.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000168 FL Part B Supplier - Clinic/Group Practice 8224071824 Receives reassigned benefits from 10 practitioners
Practice locations: Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0989523Steven M Hacker MD PA230 George Bush Blvd Ste B, Delray Beach, FL 33444ComplianceMar 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1750407409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE BUSH BLVD STE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444035",
            "telephone_number": "561-276-3111",
            "fax_number": "561-276-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE BUSH BLVD STE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444035",
            "telephone_number": "561-276-3111",
            "fax_number": "561-276-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M HACKER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-593-4269"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21485",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@dermasurgerygroup.com",
            "affiliation": "N",
            "address_1": "230 George Bush Blvd Ste B",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334444077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Dermatologic Care and Cancer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Dermatologic Care and Cancer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hacker Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.