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DERMATOLOGY OF POMPANO LLC
NPI 1720652514
Dermatology in Lighthouse Point, FL

Active since May 17, 2021
2040 E SAMPLE RD, LIGHTHOUSE POINT, FL 33064(954) 960-5404(754) 800-7174 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2022, May 17, 2021 (2 updates tracked since 2021).

About Dermatology Of Pompano Llc NPPES

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

DERMATOLOGY OF POMPANO LLC (NPI 1720652514) is a healthcare organization registered as a dermatology in Lighthouse Point, Florida and active in the NPI registry since May 2021. The organization lists Edward Delgado Kozikowski, President, as its authorized official.

NPPES Registry Identity

NPI1720652514
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY OF POMPANO LLC
Location Address2040 E SAMPLE RDLighthouse Point, FL 33064-7596
Mailing Address2040 E Sample RdLighthouse Point, FL 33064-7596 · (954) 960-5404 · Fax (754) 800-7174
Phone(954) 960-5404
Fax(754) 800-7174
Organization SubpartNo
Authorized OfficialEdward Delgado KozikowskiPresident · (954) 960-5404
Enumeration DateMay 17, 2021
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1720652514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
2040 E SAMPLE RD, Lighthouse Point, FL 33064
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Of Pompano Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology Of Pompano LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Leonard Slazinski, M. D.
Dermatology
NPI 1942368915
2426 S TAMIAMI TRL SUITE 204
Sarasota, FL 34239
(941) 365-5582
✔ PECOS✔ Accepts Medicare166 mi
Arnold Oppenheim, M.D.
Dermatology
NPI 1649356940
5320 PROVIDENCE RD STE 202
Virginia Beach, VA 23464
(757) 523-4800
✔ PECOS762 mi
Gary Waterman, D.O.
Dermatology
NPI 1982632527
102 VALLEY RD
Middletown, RI 02842
(401) 239-1800
✔ PECOS✔ Accepts Medicare1,164 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology Of Pompano LLC's NPI number?

The NPI number for Dermatology Of Pompano LLC is 1720652514. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Dermatology Of Pompano LLC located?

Dermatology Of Pompano LLC is located at 2040 E Sample Rd, Lighthouse Point, FL 33064. The listed phone number is (954) 960-5404.

What is Dermatology Of Pompano LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dermatology Of Pompano LLC enrolled in Medicare?

Yes. Dermatology Of Pompano LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Of Pompano LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Of Pompano LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology Of Pompano LLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.