Organization Active NPI

Precision Skin LLC

  • Dermatology Physician
  • Davie, FL
National Provider Identifier
1962002154
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on May 6, 2026

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL psi.ema.md Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210930002217 FL Part B Supplier - Clinic/Group Practice 5991102154 Receives reassigned benefits from 5 practitioners
Practice locations: Davie, FL

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
10D2112191Precision Skin Institute LLC3501 S University Dr Ste 5, Davie, FL 33328ComplianceDec 10, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

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.

Verify at the official NPI Registry.