Active NPI
Samuel N Lederman, M.D.
- Obstetrics & Gynecology Physician
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME60019
- Practice address
- 4671 S Congress Ave
Suite 100 B
Lake Worth, FL 33461-4783 - Phone
- (561) 434-0111
- Fax
- (561) 434-4868
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME60019 | FL | Primary |
Addresses
Primary practice location
4671 S Congress Ave
Suite 100 B
Lake Worth, FL 33461-4783
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371772100 | Medicaid | FL | |
| LN213 | Other | FL | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Miami, LM Miller School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2818 W Virginia Ave
Tampa, FL 33607-6330
Phone (813) 872-8551
4270 Design Ctr Dr
Suite B
Palm Beach Gardens, FL 33410-4298
Phone (561) 434-0111
4671 S Congress Ave
Suite 100B
Palm Springs, FL 33461-4783
Phone (561) 434-0111
Hospital & facility affiliations
- Jupiter Medical Center
- Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
4270 Design Center Dr
Ste B
Palm Beach Gardens, FL 33410
Phone (561) 434-0111
4671 S Congress Ave
Ste 100B
Palm Springs, FL 33461
Phone (561) 434-0111
5002 W Lemon St
Tampa, FL 33609
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
1500 N Dixie Hwy
Ste 104A
West Palm Beach, FL 33401
Phone (561) 434-0111
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- samuel.lederman@wcfnf.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1124131230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4671 S CONGRESS AVE",
"address_2": "SUITE 100 B",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614783",
"telephone_number": "561-434-0111",
"fax_number": "561-434-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERMAN",
"first_name": "SAMUEL",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME60019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371772100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "LN213",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.