Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1053749879
Dermatology & Cutaneous Surgery Institute (dcsi), Pa
Organization Subpart: NO
Active
NPI Number1053749879
NPI TypeNPI-2 Organization
SpecialtyDermatology
Provider Details
NPI1053749879
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2013-10-15
Last Updated2023-08-28
Authorized OfficialMounir Wassef
OWNER
Phone: 5612461791
Mailing Address12788 Forest Hill Blvd Ste 1004
Wellington, FL 33414-4703
United States
Phone: (561) 246-1791 | Fax: (561) 469-6456
📍 View Map
Primary Practice Address12788 Forest Hill Blvd Ste 1004
Wellington, FL 33414-4703
United States
Phone: (561) 246-1791 | Fax: (614) 696-4565
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)FL14JU9BLUE CROSS
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207N00000X – DermatologyFLOS10492
Export Provider Record NPI 1053749879
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1053749879

Dermatology & Cutaneous Surgery Institute (dcsi), Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1053749879. The primary specialty listed is Dermatology. The organization is located in Wellington, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-10-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053749879?

NPI 1053749879 belongs to Dermatology & Cutaneous Surgery Institute (dcsi), Pa, a Dermatology in Wellington, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053749879 active?

The current status of NPI 1053749879 in the NPPES registry is Active. The record was last updated on 2023-08-28.

What specialty is NPI 1053749879?

NPI 1053749879 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053749879?

You can verify NPI 1053749879 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053749879?

The primary practice address on file for NPI 1053749879 is 12788 Forest Hill Blvd Ste 1004, Wellington, FL 33414-4703. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053749879 issued?

NPI 1053749879 was first issued (enumerated) on 2013-10-15. The NPPES record was last updated on 2023-08-28.

Practice Location Map

Dermatology & Cutaneous Surgery Institute (dcsi), Pa is located at 12788 Forest Hill Blvd Ste 1004, Wellington, FL. Use the map below to find directions or verify the practice location.

📍 12788 Forest Hill Blvd Ste 1004, Wellington, FL 33414-4703  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Dermatology & Cutaneous Surgery Institute (dcsi), Pa. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053749879. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
DermatologyOS10492FL
Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162