Moum & Nielsen PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MOUM & NIELSEN PA

Doing business as

Dernatology Associates

Practice address

2620 S Seacreat Blvd
Boynton Beach, FL 33435

Phone

(561) 737-4888

Fax

(561) 737-5221

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Eric Ee Moum, MD

Title

Physician President

Phone

(561) 395-8701

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dernatology Associates Doing business as

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295784320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-395-8701",
            "fax_number": "561-367-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S SEACREAT BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-737-4888",
            "fax_number": "561-737-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUM & NIELSEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EE",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "561-395-8701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "00354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dernatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mote Wellness & Rehab Inc
• David Russell Mote, DC
• Youssef Motii, PHD, PA-C
• Veronica R Motiram, MD
• Matthew Motisi, D.O.
• Moum Dermatology LLC
• Eric Ee Moum, MD
• Deborah Roberts Mouw, IMH
• Moving Forward Therapies Inc
• MQM Medical Services LLC

• Dermatology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.