Oceans Dermatology, LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

OCEANS DERMATOLOGY, LLC

Practice address

10151 Enterprise Center Blvd
Suite 204
Boynton Beach, FL 33437-3761

Phone

(561) 235-4222

Fax

(561) 737-8583

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Teo D Damse

Title

Ceo

Phone

(561) 405-3000

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amelia G Damse, D.O., M.P.H.

  • MOHS-Micrographic Surgery Physician
  • Boynton Beach, FL
  • NPI 1346546587

  Dermatology

  Medicare reassignment Care Compare group NPD
• Andrei P Gherghina, DO, MS

  • MOHS-Micrographic Surgery Physician
  • Boynton Beach, FL
  • NPI 1508225947

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1013401710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD",
            "address_2": "SUITE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-405-3000",
            "fax_number": "561-459-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD",
            "address_2": "SUITE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-235-4222",
            "fax_number": "561-737-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "DAMSE",
        "authorized_official_first_name": "TEO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-405-3000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "VLXSP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Recovery
• Ocean Ridge Arthritis Associates PA
• Ocean Ridge Chiropractic Inc
• Ocean Walk North LLC
• Oceana Community Health Inc
• Oceans Medical Centers Inc
• Oceans Medical Centers, Inc
• Oceans Medical Centers, Inc
• Oceanside Surgery, LLC
• Oceanview Treatment Solutions, LLC

• MOHS-Micrographic Surgery Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.