Organization Active NPI

Nursing Home Dermatology Associates Inc

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1295934602
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2828762 Issued in FL
Legal business name
NURSING HOME DERMATOLOGY ASSOCIATES INC
Practice address
7280 W Palmetto Park Rd Ste 207N
Boca Raton, FL 33433-3401
Phone
(561) 314-0658
Fax
(561) 368-3016
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Philip BrittonNPI 1780691436
Title
President
Phone
(561) 314-0658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ARNP2828762 FL
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X ARNP2828762 FL Primary

Addresses

Primary practice location

7280 W Palmetto Park Rd Ste 207N
Boca Raton, FL 33433-3401

Mailing address

7280 W Palmetto Park Rd Ste 207N
Boca Raton, FL 33433-3401
Phone (561) 314-0658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000728 FL Part B Supplier - Clinic/Group Practice 6507877297 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL; Boynton Beach, FL; Lake Worth, FL; Lantana, FL; Lauderhill, FL; West Palm Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

951 NW 13th St
Ste 2D
Boca Raton, FL 33486
Phone (561) 393-7488

7280 W Palmetto Park Rd
Ste 207
Boca Raton, FL 33433
Phone (561) 278-1362

7280 W Palmetto Park Rd
Ste 207N
Boca Raton, FL 33433
Phone (561) 314-0658

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1295934602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD STE 207N",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333401",
            "telephone_number": "561-314-0658",
            "fax_number": "561-368-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD STE 207N",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333401",
            "telephone_number": "561-314-0658",
            "fax_number": "561-368-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING HOME DERMATOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-314-0658"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "ARNP2828762",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2828762",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.