Clearsolutions Dermatology Group Florida

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEARSOLUTIONS DERMATOLOGY GROUP FLORIDA

Practice address

175 SW 7TH St Ste 1812
Miami, FL 33130-2959

Phone

(877) 425-7756

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Jason Staback, PA-C, MSNPI 1750331948

Title

Owner

Phone

(732) 991-6579

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jason Staback, PA-C

  • Dermatology Physician
  • Lewes, DE
  • NPI 1750331948
  NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1902684194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOONLIGHT DR",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221074",
            "telephone_number": "732-991-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST STE 1812",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302959",
            "telephone_number": "877-425-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSOLUTIONS DERMATOLOGY GROUP FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "STABACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-991-6579",
        "authorized_official_credential": "PA-C, MS"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monee E Clay, MA,CCC-SLP
• James Clayman
• Clear Mind Clinic
• Clear Minds Therapy LLC
• Latonya Cleare, RN
• Clearview Health Centers LLC
• Clearview Medical Services Corp
• James Cleary
• Michelle A Cleary, PHD, ATC, LAT
• Saily Clein, RBT

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.