NPIMap

Organization Active NPI

Total Vein and Skin LLC

Doing business as Premier Dermatology Partners

  • Dermatology Physician
  • Boca Raton, FL
National Provider Identifier
1922704428
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TOTAL VEIN AND SKIN LLC
Doing business as
Premier Dermatology Partners
Practice address
20937 Lyons Rd
Boca Raton, FL 33428-1423
Phone
(561) 483-5666
Fax
(561) 451-2332
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TOTAL VEIN AND SKIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Joshua Matthew Berlin, MDNPI 1548241573
Title
Owner
Phone
(561) 739-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU
Dermatopathology (Pathology) Physician 207ZD0900X NU
Plastic Surgery Physician 208200000X NU

Addresses

Primary practice location

20937 Lyons Rd
Boca Raton, FL 33428-1423

Mailing address

10383 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Other names 1

  • Premier Dermatology Partners Doing business as

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
10D2165608Total Vein & Skin LLC Premier Dermatology Partners20937 Lyons Road, Boca Raton, FL 33428AccreditationAug 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Total Vein and Skin LLC7 organizations share this tax ID, including this one
Part of
Total Vein and Skin LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1922704428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 HAGEN RANCH RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373782",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20937 LYONS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281423",
            "telephone_number": "561-483-5666",
            "fax_number": "561-451-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VEIN AND SKIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL VEIN AND SKIN LLC",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-739-5252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dermatology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.