Organization Active NPI

Hecker Dermatology Group P.a.

  • Specialist
  • Pompano Beach, FL
National Provider Identifier
1750552907
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME79381 Issued in FL
Legal business name
HECKER DERMATOLOGY GROUP P.A.
Practice address
3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone
(954) 783-2323
Fax
(954) 783-2321
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Melanie Schwartz Hecker, M.D,NPI 1639288632
Title
Director
Phone
(954) 783-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME79381 FL Primary

Addresses

Primary practice location

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445

Mailing address

3500 NE 5TH Ave
Pompano Beach, FL 33064
Phone (954) 783-2323

Other identifiers 1

IdentifierTypeStateIssuer
K2357AOtherFLPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000888 FL Part B Supplier - Clinic/Group Practice 4082655113 Receives reassigned benefits from 3 practitioners
Practice locations: Tamarac, FL; Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

3500 NE 5th Ave
Pompano Beach, FL 33064
Phone (954) 781-2969

1800 N Federal Hwy
Ste 202
Pompano Beach, FL 33062
Phone (954) 783-2323

7401 N University Dr
Ste 203
Tamarac, FL 33321
Phone (954) 722-2002

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1750552907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-783-2323",
            "fax_number": "954-783-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-783-2323",
            "fax_number": "954-783-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECKER DERMATOLOGY GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "SCHWARTZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-783-2323",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K2357A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.