Active NPI
Precision Skin LLC
- Dermatology Physician
- Davie, FL
National Provider Identifier
1962002154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- PRECISION SKIN LLC
- Practice address
- 3501 S University Dr Ste 5
Davie, FL 33328-2001 - Phone
- (954) 998-0345
- Fax
- (954) 998-0344
- NPI assigned
- Oct 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Barry
- Title
- Executive Practice Manager
- Phone
- (954) 998-0345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
3501 S University Dr Ste 5
Davie, FL 33328-2001
Mailing address
3501 S University Dr Ste 5
Davie, FL 33328-2001
Phone (954) 998-0345
Other names 1
- Precision Skin Institute, LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | psi.ema.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2112191 | Precision Skin Institute LLC | Compliance | Dec 10, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Davie, FL
- NPI 1194926964
-
- Specialist
- Davie, FL
- NPI 1265429583
-
- Dermatology Physician
- Davie, FL
- NPI 1588124283
-
- Physician Assistant
- Plantation, FL
- NPI 1770509200
-
- Physician Assistant
- Davie, FL
- NPI 1063004653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1962002154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 S UNIVERSITY DR STE 5",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282001",
"telephone_number": "954-998-0345",
"fax_number": "954-998-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S UNIVERSITY DR STE 5",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282001",
"telephone_number": "954-998-0345",
"fax_number": "954-998-0344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION SKIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-28",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "EXECUTIVE PRACTICE MANAGER",
"authorized_official_telephone_number": "954-998-0345"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "psi.ema.md",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "3501 S University Dr Ste 5",
"city": "Davie",
"state": "FL",
"country_code": "US",
"postal_code": "333282001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Precision Skin Institute, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.