Individual provider Active NPI

Julian Mackay-Wiggan, M.D.

  • Dermatology Physician
  • Boynton Beach, FL
National Provider Identifier
1154421485
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME132842 Issued in FL
Practice address
9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400
Phone
(561) 364-7774
Fax
(561) 364-7775
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 224157-1 NY
Dermatology Physician 207N00000X ME132842 FL Primary

Addresses

Primary practice location

9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400

Mailing address

9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400
Phone (561) 364-7774

Other practice location 1

950 Glades Rd
Boca Raton, FL 33431-6401
Phone (561) 364-7774 ext. 327

Other practice location 2

161 Fort Washington Ave
12th Floor
New York, NY 10032-3729
Phone (212) 305-5293

Other identifiers 1

IdentifierTypeStateIssuer
02329555MedicaidNY

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
I20180416001962 FL Practitioner - DermatologyPractitioner - Internal Medicine 5193706448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

101 N Clematis St
110 NYU Langone Medical Associates We
West Palm Beach, FL 33401-5553
Phone (561) 365-3000

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
93.58
Promoting interoperability
100
Improvement activities
40
Cost
79.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions410
Removal or shaving of skin growth1-10
Skin biopsy119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224157-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2024 Accepting new patients
New York University CurrentSince Nov 1, 2024 Accepting new patients
Siperstein Dermatology Group, PLLC Dermatology CurrentSince Jan 1, 2018 Accepting new patients
Dermatology Clinicians Group - Columbia University Dermatology Past Accepting new patients
Trustees of Columbia University in the City of New York Dermatology Past Accepting new patients
Synergy Dermatology LLC Dermatology PastSince Jan 1, 2018 Accepting new patients
Trustees of Columbia in the City of New York Dermatology Past Accepting new patients

Locations

950 Glades Rd
Fl 4
Boca Raton, FL 33431
Phone (561) 750-8666

9897 Hagen Ranch Rd
Boynton Beach, FL 33437
Phone (561) 364-7774

101 N Clematis St
Ste 110
West Palm Beach, FL 33401
Phone (561) 365-3000

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154421485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9897 HAGEN RANCH RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334727400",
            "telephone_number": "561-364-7774",
            "fax_number": "561-364-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9897 HAGEN RANCH RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334727400",
            "telephone_number": "561-364-7774",
            "fax_number": "561-364-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Glades Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316401",
            "country_code": "US",
            "telephone_number": "561-364-7774 x327",
            "fax_number": "561-364-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Fort Washington Ave",
            "address_2": "12th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323729",
            "country_code": "US",
            "telephone_number": "212-305-5293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKAY-WIGGAN",
        "first_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "224157-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME132842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02329555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.