SELECTSKINMD LLC - NPI 1427414168 - Dermatology in Vero Beach, FL

Q: What is Selectskinmd LLC's NPI number?

The NPI number for Selectskinmd LLC is 1427414168. It was assigned to this organization in the NPPES registry on January 11, 2016.

Q: What is Selectskinmd LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Selectskinmd LLC was last updated on March 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Selectskinmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELECTSKINMD LLC (NPI 1427414168) is a healthcare organization registered as a mohs-micrographic surgery in Vero Beach, Florida and active in the NPI registry since January 2016. The organization holds a CLIA Certificate of Compliance certificate valid through September 21, 2026 and lists Monika Srivastava, Owner, as its authorized official.

NPPES Registry Identity

NPI1427414168

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSELECTSKINMD LLC

Location Address1325 36TH ST, SUITE AVero Beach, FL 32960-6599

Mailing Address1325 36th St, Suite AVero Beach, FL 32960-6599 · (772) 567-1164

Phone(772) 567-1164

Organization SubpartNo

Authorized OfficialMonika SrivastavaOwner · (772) 567-1164

Enumeration DateJanuary 11, 2016

Last NPPES UpdateMarch 16, 20162 updates tracked since enumeration

✔ NPI 1427414168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in FL · ME101443

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

1325 36TH ST, Vero Beach, FL 32960

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0663269

Select Skin MD LLC · Vero Beach, FL

Active · expires Sep 21, 2026

CLIA Number10D0663269

Laboratory TypePhysician Office

Certificate Effective DateSeptember 22, 2024

Certificate Expiration DateSeptember 21, 2026

Laboratory DirectorMonika Srivastava

Laboratory Phone(772) 567-1164

Laboratory LocationSelect Skin MD LLC1600 36th St Ste B, Vero Beach, FL 32960

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE ROSE CONROY AU.D.

Audiologist

1325 36TH ST, STE. A
VERO BEACH, FL 32960

Indian River County (772) 563-0015

DR. DONALD PROCTOR M.D.

Dermatology (MOHS-Micrographic Surgery)