Organization Active NPI

Children's Skin Center PA

Doing business as Gables Skin Center

  • Pediatric Dermatology Physician
  • Miami, FL
National Provider Identifier
1942238258
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
ME56604 Issued in FL
Legal business name
CHILDREN'S SKIN CENTER PA
Doing business as
Gables Skin Center
Practice address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone
(305) 668-5518
Fax
(305) 668-5579
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Ms. Ana L Zaun
Title
Practice Administrator
Phone
(305) 668-5518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NP0225X ME56604 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Miami, FL 33155-3009

Mailing address

PO Box 144341
Coral Gables, FL 33114-4341
Phone (305) 668-5518

Other identifiers 1

IdentifierTypeStateIssuer
261982200MedicaidFL

Other names 1

  • GABLES SKIN CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000039 FL Part B Supplier - Clinic/Group Practice 7618944091 Receives reassigned benefits from 12 practitioners
Practice locations: Coral Gables, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

4675 Ponce de Leon Blvd
Ste 201
Coral Gables, FL 33146
Phone (305) 669-6555

2900 S Commerce Pkwy
Weston, FL 33331
Phone (954) 385-6200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bf8f05ba-6e12-4216-9197-5290cecb808c/

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1942238258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144341",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144341",
            "telephone_number": "305-668-5518",
            "fax_number": "305-668-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-668-5518",
            "fax_number": "305-668-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SKIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "ZAUN",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "305-668-5518",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "ME56604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261982200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GABLES SKIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.