Individual provider Active NPI

Laju M Mathew, MD

  • Dermatology Physician
  • Boynton Beach, FL
National Provider Identifier
1235438466
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME147135 Issued in FL
Practice address
9897 Hagen Ranch Rd
Boynton Beach, FL 33437-6700
Phone
(561) 364-7774
NPI assigned
Mar 28, 2011
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 278553 NY
Dermatology Physician 207N00000X ME147135 FL Primary

Addresses

Primary practice location

9897 Hagen Ranch Rd
Boynton Beach, FL 33437-6700

Mailing address

9897 Hagen Ranch Rd
Boynton Beach, FL 33437-6700
Phone (561) 364-7774

Other practice location 1

1401 N Federal Hwy
Boca Raton, FL 33432-1925
Phone (561) 364-7774 ext. 327

Other names 1

  • Laju M Patel 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
I20210513002057 FL Practitioner - Dermatology 6204144926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siperstein Dermatology Group PLLCGroup PAC ID 3476683145, 18 clinicians

Practice addresses (Care Compare)

9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400
Phone 5613647774327

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
Removal of tissue1-10
Removal of skin lesions1106
Skin biopsy165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147135FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siperstein Dermatology Group, PLLC Dermatology CurrentSince Mar 19, 2021 Accepting new patients
Dermatology Specialists LLC Dermatology CurrentSince Sep 8, 2015 Accepting new patients
Synergy Dermatology LLC Dermatology PastSince Mar 19, 2021 Accepting new patients

Locations

1401 N Federal Hwy
Boca Raton, FL 33432
Phone 5613647774 ext. 327

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

105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 299-4521

115 E 57th St
Fl 400
New York, NY 10022
Phone (212) 750-8900

Interoperability endpoints

  • Direct secure messaging: drmathew@siperstein.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1235438466",
    "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": "334376700",
            "telephone_number": "561-364-7774"
        },
        {
            "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": "334376700",
            "telephone_number": "561-364-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321925",
            "country_code": "US",
            "telephone_number": "561-364-7774 x327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "LAJU",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "278553",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME147135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAJU",
            "last_name": "PATEL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.