Individual provider Active NPI

Robin Ilana Shecter, DO

  • Dermatology Physician
  • Lake Worth, FL
National Provider Identifier
1003811647
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS7628 Issued in FL
Practice address
5808 S Jog Rd
Lake Worth, FL 33467-6511
Phone
(561) 968-7546
Fax
(561) 968-1143
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS7628 FL Primary

Addresses

Primary practice location

5808 S Jog Rd
Lake Worth, FL 33467-6511

Mailing address

5808 S Jog Rd
Lake Worth, FL 33467-6511
Phone (561) 968-7546

Other practice location 1

1100 S Federal Hwy Ste 100
Deerfield Beach, FL 33441-7000
Phone (954) 943-9670

Other practice location 2

715 W Boynton Beach Blvd Ste C
Boynton Beach, FL 33426-3625
Phone (561) 968-7546

Other names 1

  • Robin Ilana Goldberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413001191 FL Practitioner - DermatologyPractitioner - Family Practice 3375580038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of the Palm Beaches PAGroup PAC ID 8921411737, 2 clinicians

Practice addresses (Care Compare)

5808 S Jog Rd
Lake Worth, FL 33467-6511
Phone (561) 968-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions516
Removal or shaving of skin growth1-10
Skin biopsy316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS7628FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anatomic Pathology Associates, LLC Past Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rshecter@dermcpb.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1003811647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676511",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 S JOG RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676511",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Federal Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334417000",
            "country_code": "US",
            "telephone_number": "954-943-9670",
            "fax_number": "954-943-9671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 W Boynton Beach Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263625",
            "country_code": "US",
            "telephone_number": "561-968-7546",
            "fax_number": "561-968-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHECTER",
        "first_name": "ROBIN",
        "middle_name": "ILANA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "GOLDBERG",
            "middle_name": "ILANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.