Shagalov Dermatology PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SHAGALOV DERMATOLOGY PA

Doing business as

Biscayne Dermatology

Practice address

2800 Biscayne Blvd Ste 1010
Miami, FL 33137-4559

Phone

(786) 607-4544

NPI assigned

Aug 11, 2022

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devorah Shagalov, MDNPI 1336584960

Title

Owner

Phone

(415) 802-1310

Specialties & licenses 1

Addresses

Other names 1

• Biscayne Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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.

• Devorah R Shagalov, MD

  • Dermatology Physician
  • Miami, FL
  • NPI 1336584960
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Skarda, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1083151583
  Medicare reassignment Care Compare group NPD
• Georgiy Vladimirovich Brusovanik, MD

  • Orthopaedic Surgery Physician
  • Miami, FL
  • NPI 1033315239
  NPD (past)
• Jonathan Robert Gottlieb, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Coral Gables, FL
  • NPI 1649335639
  NPD (past)
• Jessica Rivera

  • Physician Assistant
  • Homestead, FL
  • NPI 1497183123
  NPD (past)
• Sarah N Toledo, P.A.

  • Medical Physician Assistant
  • Miami, FL
  • NPI 1336444868
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1972231405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374528",
            "telephone_number": "347-409-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BISCAYNE BLVD STE 1010",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374559",
            "telephone_number": "786-607-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAGALOV DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAGALOV",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-802-1310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biscayne Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Biscayne Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Michelle Shaffer, DO
• Michelle Shaffer
• Thitiporn Lertratanakul Shaffer, ARNP
• Shahab Shaffiey, MD
• Larisa Shagabayeva, MD
• Devorah R Shagalov, MD
• Amar Shah, MD
• Ashish Harish Shah, MD
• Chandrakant Shah, M.D.
• Faika Shah, APRN

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.