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GREEN DERMATOLOGY & COSMETIC CENTER
NPI 1649726316
Clinic/Center - Medical Specialty in Deerfield Beach, FL

Active since August 31, 2016CLIA 10D2123540 · Certificate of Compliance
260 SW NATURA AVE, SUITE 101, DEERFIELD BEACH, FL 33441(954) 481-0650(954) 481-0651 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Dermatology & Cosmetic Center NPPES

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

GREEN DERMATOLOGY & COSMETIC CENTER (NPI 1649726316) is a healthcare organization registered as a medical specialty in Deerfield Beach, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Certificate of Compliance certificate valid through February 26, 2027 and lists Jason Green, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1649726316
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJASON GREEN DO PA
Location Address260 SW NATURA AVE, SUITE 101Deerfield Beach, FL 33441-3026
Mailing Address260 Sw Natura Ave, Suite 101Deerfield Beach, FL 33441-3026 · (954) 481-0650 · Fax (954) 481-0651
Phone(954) 481-0650
Fax(954) 481-0651
Organization SubpartNo
Authorized OfficialJason GreenPhysician/owner · (954) 481-0650
Enumeration DateAugust 31, 2016
✔ NPI 1649726316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · OS 88871
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
260 SW NATURA AVE, Deerfield Beach, FL 33441
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Other Names 1

Doing Business AsGreen Dermatology & Cosmetic Center

Other Identifiers 1

Medicare PIN16272XFL

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 10D2123540

Green Dermatology & Cosmetic Center LLC · Deerfield Beach, FL
Active · expires Feb 26, 2027
CLIA Number10D2123540
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorDr. Jason Bradley Green
Laboratory Phone(954) 481-0650
Laboratory LocationGreen Dermatology & Cosmetic Center LLC260 SW Natura Ave Ste 101, Deerfield Beach, FL 33441
CLIA data matches this NPI record on: Address Name 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

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

DEERFIELD BEACH PEDIATRICS LLC
Pediatrics
260 SW NATURA AVE, SUITE 102
DEERFIELD BEACH, FL 33441
Broward County (954) 505-8524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Green Do PA's NPI number?

The NPI number for Jason Green Do PA is 1649726316. It was assigned to this organization in the NPPES registry on August 31, 2016. The provider is doing business as Green Dermatology & Cosmetic Center.

Where is Jason Green Do PA located?

Jason Green Do PA is located at 260 SW Natura Ave Suite 101, Deerfield Beach, FL 33441. The listed phone number is (954) 481-0650.

What is Jason Green Do PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Jason Green Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2123540) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jason Green Do PA was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.