RSB Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME77930 Issued in FL

Legal business name

RSB DERMATOLOGY INC

Practice address

1500 East Hillsboro Blvd
Suite 204
Deerfield Beach, FL 33441

Phone

(954) 421-3200

Fax

(954) 421-3201

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert S BaderNPI 1386862415

Title

President Physician

Phone

(954) 421-3200

Specialties & licenses 4

Addresses

Other identifiers 1

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 5

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

• Robert Scott Bader, M.D.

  • Dermatology Physician
  • Deerfield Beach, FL
  • NPI 1386862415
  Medicare reassignment NPD Authorized official
• Daisy Virginia Fisher, ANP

  • Nurse Practitioner
  • Chevy Chase, MD
  • NPI 1114172939

  FL

  Medicare reassignment NPD
• Svetlana Reyblat, PA-C, MPH

  • Medical Physician Assistant
  • Delray Beach, FL
  • NPI 1518009497
  Medicare reassignment
• Kellie Ann Mosley-Mendez, D.O.

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1386694388
  NPD (past)
• Phon H Vuong, PA

  • Physician Assistant
  • Laguna Beach, CA
  • NPI 1396082202
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1386748952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EAST HILLSBORO BLVD",
            "address_2": "SUITE 204",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-421-3200",
            "fax_number": "954-421-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST HILLSBORO BLVD",
            "address_2": "SUITE 204",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-421-3200",
            "fax_number": "954-421-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSB DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "954-421-3200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME77930",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME77930",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME77930",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME77930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46406",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Rouco
• Roy Goodman, D.C., P.a.
• Royal Palm Beach Medical Inc
• Michelle Roye
• Justyna Roznowska
• Katie Vivian Rube
• Andrew Seth Rubin, PH.D.
• Morgan Aubrey Rubin
• Mark Rucker
• Samuel Michael Rudd

• Dermatology Physician in Deerfield Beach, FL
• Providers in Deerfield 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 Oct 13, 2014; 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.