Jenna Queller MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JENNA QUELLER MD PA

Doing business as

DermWorks Dermatology & Aesthetics

Practice address

7000 W Palmetto Park Rd Ste 105
Boca Raton, FL 33433-3429

Phone

(561) 783-3376

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jenna Natalie Queller, MDNPI 1851654990

Title

Medical Director/Owner

Phone

(561) 783-3376

Specialties & licenses 1

Addresses

Other names 1

• DermWorks Dermatology & Aesthetics Doing business as

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Natalie Queller, MD

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1851654990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1235843079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 SAINT ANNES DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962517",
            "telephone_number": "561-560-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333429",
            "telephone_number": "561-783-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA QUELLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "QUELLER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "561-783-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermWorks Dermatology & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey G Savran DPM PA
• Jeffrey L. Stein, MD, PA
• Jeffrey Marcus, MD, MPH, PA
• Jeffrey S Hoffman DC PA
• Bonnie Jenkins, RBT
• Jennifer E. Wong-Looi, DDS, PA
• Jennifer H Forman MSPT PA
• Jennifer Jones RN Inc
• Jennifer N Yoder P.a.
• Jennifer Statler, DMD, PA (Statler Orthodontics)

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.