Organization Active NPI

Integrated Dermatology of Pompano Beach LLC

  • Dermatology Physician
  • Pompano Beach, FL
National Provider Identifier
1962674481
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
INTEGRATED DERMATOLOGY OF POMPANO BEACH LLC
Practice address
3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone
(954) 783-2323
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Melanie Hecker, M.D.NPI 1639288632
Title
M.D.
Phone
(954) 783-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X FL Primary

Addresses

Primary practice location

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445

Mailing address

3500 NE 5TH Ave
Pompano Beach, FL 33064-4445
Phone (954) 783-2323

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1962674481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-783-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE 5TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644445",
            "telephone_number": "954-783-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF POMPANO BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "HECKER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "954-783-2323",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.