Individual provider Active NPI

Joel Wiszniak, MD

  • Dermatology Physician
  • Aventura, FL
National Provider Identifier
1861413395
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME53127 Issued in FL
Practice address
2925 Aventura Boulevard
S. 205
Aventura, FL 33180
Phone
(305) 933-6716
Fax
(305) 933-6720
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 ME53127 FL Primary

Addresses

Primary practice location

2925 Aventura Boulevard
S. 205
Aventura, FL 33180

Mailing address

2925 Aventura Boulevard
S. 205
Aventura, FL 33180
Phone (305) 933-6716

Other identifiers 1

IdentifierTypeStateIssuer
0479110MedicaidFL

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
I20041102001067 FL Practitioner - Dermatology 7618939596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1978
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)

601 N Federal Hwy
Suite 401
Hallandale Beach, FL 33009-2463
Phone (954) 454-1066

Merit-based Incentive Payment System (MIPS)

Final score
79.6 of 100Reported as individual
Promoting interoperability
76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions873
Removal or shaving of skin growth1-10
Skin biopsy387

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Jul 12, 2024 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

18205 Biscayne Blvd
Ste 2217
Aventura, FL 33160
Phone (305) 935-9922

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

601 N Federal Hwy
Ste 401
Hallandale Beach, FL 33009
Phone (954) 454-1066

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

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Networks

  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1861413395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BOULEVARD",
            "address_2": "S. 205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-6716",
            "fax_number": "305-933-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BOULEVARD",
            "address_2": "S. 205",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-6716",
            "fax_number": "305-933-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISZNIAK",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME53127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.