Active NPI
Harvey J Penziner, M.D.
- Dermatology Physician
- Boca Raton, FL
National Provider Identifier
1285600114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036-087702
- Practice address
- 7280 W Palmetto Park Rd
Boca Raton, FL 33433-3422 - Phone
- (561) 368-1440
- NPI assigned
- Feb 28, 2006
- Last updated
- Sep 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036-087702 | IL | Primary |
Addresses
Primary practice location
7280 W Palmetto Park Rd
Boca Raton, FL 33433-3422
Mailing address
120 Butler St Ste a
West Palm Beach, FL 33407-6107
Phone (561) 659-1510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001825800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-087702 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of the Palm Beaches PLLC | Dermatology | Past | Accepting new patients |
| Galesburg Clinic PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Dermatologyassociates
- Dermatology Physician
- Trinity, FL
- NPI 1215570445
-
- Specialist
- Galesburg, IL
- NPI 1972614808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1285600114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BUTLER ST STE A",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076107",
"telephone_number": "561-659-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7280 W PALMETTO PARK RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333422",
"telephone_number": "561-368-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENZINER",
"first_name": "HARVEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036-087702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001825800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.