Dermatology and Cosmetic Center, P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

OS8871 Issued in FL

Legal business name

DERMATOLOGY AND COSMETIC CENTER, P.A.

Doing business as

Eastside Dermatology, P.a.

Practice address

5353 N Federal Hwy Ste 400
Fort Lauderdale, FL 33308-3244

Phone

(954) 489-9800

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Kerry Zimmer

Title

Office Manager

Phone

(954) 772-0416

Specialties & licenses 1

Addresses

Other names 1

• EASTSIDE DERMATOLOGY, P.A. Doing business as

Locations

Practitioners 1

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

• Jason Green, DO

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1427167261
  NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1932304888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 N FEDERAL HWY STE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083244",
            "telephone_number": "954-489-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 N FEDERAL HWY STE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083244",
            "telephone_number": "954-489-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND COSMETIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-772-0416"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS8871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTSIDE DERMATOLOGY, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dentists of Fort Lauderdale, PA (Dentists of Fort Lauderdale)
• Dependable Incontinence & Supply, Inc
• Angel David Depestre, RBT
• William Derby, BA, MPS, CAP
• George T Derefaka, CRNA
• Daniella Deronvil, RN
• Josee Derrien, RDN, CDE
• Mitesh Desai
• Viren D. Desai, M.D
• Gina M Desalvo Assuncao

• MOHS-Micrographic Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.