INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC
NPI 1841642014
Dermatology in Boca Raton, FL
NPI Status: Active since July 12, 2016
Contact Information
1050 NW 15TH ST
STE 201A
BOCA RATON, FL
ZIP 33486
Phone: (561) 368-4545
Fax: (561) 368-4041
- Organization
- Dermatology
- CLIA Number: 10D2285366
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-10-2025
About INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC
This page provides the complete NPI Profile along with additional information for Integrated Dermatology Of Glades Road, Llc, a provider established in Boca Raton, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1841642014 assigned on July 2016. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jeffrey Fromowitz Md (Authorized Official)
- NPI
- 1841642014
- Provider Name
- INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC
- Entity Type
- Organization
- Location Address
- 1050 NW 15TH ST STE 201A BOCA RATON, FL 33486
- Location Phone
- (561) 368-4545
- Location Fax
- (561) 368-4041
- Mailing Address
- 4700 EXCHANGE CT STE 110 BOCA RATON, FL 33431
- Mailing Phone
- (561) 314-2000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2016
- Last Update Date
- 01-18-2019
- Code Navigator
A dermatologist like Integrated Dermatology Of Glades Road, Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2285366
- Facility Type
- Physician Office
- Certificate Effective Date
- July 11, 2023
- Certificate Expiration Date
- July 10, 2025
- Laboratory Director
- ALECIA FOLKES
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Integrated Dermatology Of Glades Road, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 6 | 4 | 2 | 0 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 12 | 4 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 2 + 4 + 4 + 0 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1841642014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124005913 | ABBEY STRAUSS MD Individual | Psychiatry & Neurology (Psychiatry) | 1050 NW 15TH ST #207 BOCA RATON, FL 33486 (561) 394-6110 |
| 1083676035 | BOCA RATON NEUROLOGIC ASSOCIATES PA Organization | Psychiatry & Neurology (Neurology) | 1050 NW 15TH ST SUITE 216-A BOCA RATON, FL 33486 (561) 338-8484 |
| 1750395760 | DR. MARK B MCCORMICK MD Individual | Obstetrics & Gynecology | 1050 NW 15TH ST #215A BOCA RATON, FL 33486 (561) 395-7704 |
| 1578577581 | DR. TERRENCE W HARRIS MD Individual | Obstetrics & Gynecology | 1050 NW 15TH ST #215A BOCA RATON, FL 33486 (561) 392-7704 |
| 1073537551 | DR. GAIL M PEZZULLO-BURGS MD Individual | Obstetrics & Gynecology | 1050 NW 15TH ST #215A BOCA RATON, FL 33486 (561) 392-7704 |
| 1295742369 | DR. BRADLEY S DOUGLAS MD Individual | Obstetrics & Gynecology | 1050 NW 15TH ST #215A BOCA RATON, FL 33486 (561) 392-7704 |
| 1144323023 | JOSEPH Z FORSTOT MD Individual | Internal Medicine (Rheumatology) | 1050 NW 15TH ST SUITE 212A BOCA RATON, FL 33486 (561) 368-5611 |
| 1235232042 | MARGARET R WILKES MD Individual | Internal Medicine (Rheumatology) | 1050 NW 15TH ST SUITE 212A BOCA RATON, FL 33486 (561) 368-5611 |
| 1871675777 | DR. RICHARD J GERSTEIN MD Individual | Internal Medicine | 1050 NW 15TH ST 103A BOCA RATON, FL 33486 (561) 338-3300 |
| 1871664326 | DAWN M DAVANZO M.D. Individual | Internal Medicine | 1050 NW 15TH ST SUITE 103A BOCA RATON, FL 33486 (561) 338-3300 |
| 1356484109 | DR. REDA A. ABDEL-FATTAH B.D.S., M.S., M.P.S. Individual | Dentist (General Practice) | 1050 NW 15TH ST SUITE 211A BOCA RATON, FL 33486 (561) 391-5331 |
| 1912105875 | ADRIAN J FABRIKANT L.M.H.C Individual | Counselor (Mental Health) | 1050 NW 15TH ST SUITE 115 BOCA RATON, FL 33486 (954) 806-7297 |
| 1194994871 | DR. SIDNEY J COHEN DDS Individual | Dentist (General Practice) | 1050 NW 15TH ST SUITE # 113A BOCA RATON, FL 33486 (561) 347-6622 |
| 1639320948 | RICHARD J GERSTEIN M D P A Organization | Internal Medicine | 1050 NW 15TH ST SUITE 103A BOCA RATON, FL 33486 (561) 338-3300 |
| 1629212253 | DR. EMMANUEL PLATIS DMD Individual | Dentist | 1050 NW 15TH ST SUITE 202 BOCA RATON, FL 33486 (561) 391-6661 |
| 1851616312 | DR. HOWARD KESTENBERG DDS Individual | Dentist (General Practice) | 1050 NW 15TH ST SUITE 109A BOCA RATON, FL 33486 (561) 394-2475 |
| 1508183849 | ROBERT H JOHR, MD PA Organization | Dermatology (Dermatopathology) | 1050 NW 15TH ST SUITE 201A BOCA RATON, FL 33486 (561) 368-4545 |
| 1114246204 | ARNOLD FALCHOOK MD PA Organization | Internal Medicine (Rheumatology) | 1050 NW 15TH ST SUITE 106A BOCA RATON, FL 33486 (561) 362-1166 |
| 1629388236 | ABBEY STRAUSS MD PA Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 1050 NW 15TH ST 207A BOCA RATON, FL 33486 (561) 394-6110 |
| 1841597002 | FLORIDA WOMAN CARE, LLC Organization | Obstetrics & Gynecology | 1050 NW 15TH ST BOCA RATON, FL 33486 (561) 738-9671 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841642014, enumerated in the NPI registry as an "organization" on July 12, 2016
The provider is located at 1050 Nw 15th St Ste 201a Boca Raton, Fl 33486 and the phone number is (561) 368-4545
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider's CLIA number is 10D2285366 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 12, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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