Dermatology Associates of the Palm Beaches PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC

Practice address

2160 Duck Slough Blvd Ste 103
Trinity, FL 34655-5007

Phone

(727) 807-9070

Fax

(727) 807-5801

NPI assigned

Oct 21, 2019

Organization subpart

Yes

Parent organization

DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLCAs reported in NPPES

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

Authorized official

Name

Howard Green

Title

Managing Partner

Phone

(561) 659-1510

Specialties & licenses 1

Addresses

Other names 1

• DERMATOLOGYASSOCIATES Doing business as

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

CLIA laboratory certificates

Tax ID family

Dermatology Associates2 organizations share this tax ID, including this one

Part of

Dermatology Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dermatology Associated of the Palm Beaches

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1699172627
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dermatology Associates of the Palm Beaches PLLC

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1649260308
  NPPES parent name

Practitioners 2

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

• Christopher J. Pranckun, PA-C

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1992883904

  Dermatology

  NPD (past)
• Ling Chen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
  • NPI 1053392191
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1215570445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120A BUTLER ST STE A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076106",
            "telephone_number": "561-659-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 DUCK SLOUGH BLVD STE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555007",
            "telephone_number": "727-807-9070",
            "fax_number": "727-807-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMATOLOGY ASSOCIATES OF THE PALM BEACHES PLLC",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-659-1510"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERMATOLOGYASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Ruth Delgado, APRN
• Amanda April Delvalle, DC
• David W Dempsey, D.D.S.
• Dennis Dario MD LLC
• Dentists of Mitchell Ranch, PA
• Parth R Desai, MD
• Russell Deutscher, M.D.
• Jeremy Harrington Devirgilio, MD
• DG Rehab and Entertainment, Inc.
• Rachel Shelley Dhani, MD

• All providers in Trinity, FL
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.