Individual provider Active NPI

Joely Kaufman-Janette, MD

  • Dermatology Physician
  • Coral Gables, FL
National Provider Identifier
1780648162
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME79133 Issued in FL
Practice address
4425 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-1837
Phone
(305) 443-6606
Fax
(305) 443-4890
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 ME79133 FL Primary

Addresses

Primary practice location

4425 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-1837

Mailing address

4425 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-1837
Phone (305) 443-6606

Other identifiers 1

IdentifierTypeStateIssuer
2645033-00MedicaidFL

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
I20050714000214 FL Practitioner - Dermatology 7315973039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Associates of South Florida PAGroup PAC ID 0749599793, 8 clinicians

Practice addresses (Care Compare)

4425 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-1871
Phone (305) 443-6606

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions601
Removal or shaving of skin growth1-10
Skin biopsy141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Associates of South Florida, P.a. Dermatology CurrentSince May 26, 2015 Accepting new patients

Locations

4425 Ponce de Leon Blvd
Ste 200
Coral Gables, FL 33146
Phone (305) 443-6606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1780648162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461837",
            "telephone_number": "305-443-6606",
            "fax_number": "305-443-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PONCE DE LEON BLVD",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461837",
            "telephone_number": "305-443-6606",
            "fax_number": "305-443-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN-JANETTE",
        "first_name": "JOELY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME79133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2645033-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.