EXCLUSIVE DERMATOLOGY PLLC
NPI 1568236032
Dermatology - MOHS-Micrographic Surgery in West Palm Beach, FL

NPI Status: Active since November 14, 2023

Contact Information

500 S AUSTRALIAN AVE STE 205
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 561-7546

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 10D2294579
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-07-2026

About EXCLUSIVE DERMATOLOGY PLLC

This page provides the complete NPI Profile along with additional information for Exclusive Dermatology Pllc, a provider established in West Palm Beach, Florida operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1568236032 assigned on November 2023. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated one year ago. Exclusive Dermatology Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Steven M Rotter Md (Owner)

NPI
1568236032
Provider Name
EXCLUSIVE DERMATOLOGY PLLC
Entity Type
Organization
Location Address
500 S AUSTRALIAN AVE STE 205 WEST PALM BEACH, FL 33401
Location Phone
(561) 561-7546
Mailing Address
500 S AUSTRALIAN AVE STE 205 WEST PALM BEACH, FL 33401
Mailing Phone
(561) 561-7546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2023
Last Update Date
05-21-2024
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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 MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVEN M ROTTER MD

Authorized Official Title
OWNER
Authorized Official Phone
(561) 561-7546

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
10D2294579
Facility Type
Physician Office
Certificate Effective Date
July 08, 2024
Certificate Expiration Date
July 07, 2026
Laboratory Director
STEVEN M. ROTTER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Exclusive Dermatology Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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.
1568236032
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128431206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 4 + 3 + 1 + 2 + 0 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1568236032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. FRANCES S ROTTER MD

Dermatology

500 S AUSTRALIAN AVE STE 205
WEST PALM BEACH, FL
ZIP 33401

(561) 561-7546

DR. STEVEN M ROTTER MD

Dermatology

(MOHS-Micrographic Surgery)

500 S AUSTRALIAN AVE STE 205
WEST PALM BEACH, FL
ZIP 33401

(561) 561-7546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568236032, enumerated as an "organization" on November 14, 2023.

The provider is located at 500 S AUSTRALIAN AVE STE 205 WEST PALM BEACH, FL 33401 and the phone number is (561) 561-7546.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.