Individual provider Active NPI

Jeremy Boyd White, MD

  • Plastic and Reconstructive Surgery Physician
  • Aventura, FL
National Provider Identifier
1356517767
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME107157 Issued in FL
Practice address
20950 NE 27TH CT Ste 302
Arc Plastic Surgery
Aventura, FL 33180-1232
Phone
(305) 501-2000
Fax
(954) 603-1151
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116019049 VA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X ME107157 FL
Plastic and Reconstructive Surgery Physician 2086S0122X ME107157 FL Primary

Addresses

Primary practice location

20950 NE 27TH CT Ste 302
Arc Plastic Surgery
Aventura, FL 33180-1232

Mailing address

20950 NE 27TH CT Ste 302
Arc Plastic Surgery
Aventura, FL 33180-1232
Phone (305) 501-2000

Other practice location 1

6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drwhite_arcplassur@direct.mxregister.com
Direct Messaging Address Jeremy.White@forefrontdermatology.emadirect.md

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
I20120627000767 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 2062676018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

20950 NE 27TH CT
Suite 302
Aventura, FL 33180-1232
Phone (305) 501-2000

6550 N Federal Hwy
Suite 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116019049VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1356517767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT STE 302",
            "address_2": "ARC PLASTIC SURGERY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-501-2000",
            "fax_number": "954-603-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT STE 302",
            "address_2": "ARC PLASTIC SURGERY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-501-2000",
            "fax_number": "954-603-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 N Federal Hwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333081400",
            "country_code": "US",
            "telephone_number": "954-500-7546",
            "fax_number": "954-491-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEREMY",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019049",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME107157",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME107157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwhite_arcplassur@direct.mxregister.com",
            "affiliation": "N",
            "address_1": "20950 NE 27th Ct Ste 302",
            "address_2": "ARC Plastic Surgery",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jeremy.White@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.