Prestige Dermatology – Dermatology Physician, NPI 1417241332

Prestige Dermatology is a healthcare provider. based in New port richey, Florida. specializing in Dermatology Physician. The organization holds a License No. OS7718 (FL). The NPI Number for Prestige Dermatology is 1417241332

Main info

Organization
Name
Prestige Dermatology
NPI
1417241332
Phone
(727) 849-1447
Address
4546 GRAND BLVD
Authorized Official
MR. STEPHEN M JENKS DIRECTOR/CEO
Enumeration Date
8 June 2011
Last Update Date
8 June 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Prestige Dermatology

  • 4546 GRAND BLVD

    NEW PORT RICHEY, FL 346525119

    Phone: (727) 849-1447

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34652)

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Frequently asked questions

Is Prestige Dermatology listed with a National Provider Identifier?
Yes — Prestige Dermatology has NPI 1417241332 on file in the registry.
Active or inactive — what applies to Prestige Dermatology?
You should see Prestige Dermatology as active in CMS-hosted NPPES data.
What area of care is associated with Prestige Dermatology?
Prestige Dermatology's record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is Prestige Dermatology registered?
Use New Port Richey, Florida as the headline location for Prestige Dermatology here.
Does Prestige Dermatology accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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